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Documentation of Nursing Diagnosis

Documentation of Nursing Diagnosis

The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...

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Same Data, Opposite Results?: A Call to Improve Surgical Database Research

Christopher P Childers¹, Melinda Maggard-Gibbons¹

¹Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles.

|November 25, 2020

Summary

No abstract available in PubMed .

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