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A clinical information system for ambulatory care
1University of North Texas, Denton, USA.
Computers in Nursing
|July 1, 1995
Summary
This article details a clinical information system designed for nurse practitioners in ambulatory care, featuring a longitudinal electronic health record and flexible data integration for improved patient management.
Area of Science:
- Health Informatics
- Nursing Informatics
- Ambulatory Care Systems
Background:
- Ambulatory care settings require efficient patient information management.
- Existing systems may lack flexibility and comprehensive data integration.
- Nurse practitioners need specialized tools for effective patient care.
Purpose of the Study:
- To describe a novel clinical information system (CIS) for ambulatory care nurse practitioners.
- To present the design, features, and implementation considerations of this CIS.
- To enhance the electronic health record (EHR) capabilities in ambulatory nursing.
Main Methods:
- Development of a CIS based on a relational database structure.
- Integration of the Nursing Minimum Data Set (NMDS).
- Inclusion of links to external aggregate data (e.g., U.S. Census).
Main Results:
- The CIS creates a longitudinal electronic health care record.
- Features include selectable problem classification schemes (NANDA, Omaha, ICD-9).
- System allows for custom menu additions, group tracking, and detailed outcome data storage.
Conclusions:
- The developed CIS offers a robust and adaptable solution for ambulatory care nursing.
- The system supports comprehensive patient data management and outcome tracking.
- Implementation considerations for adopting such a system are briefly outlined.