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Elements for a report card: one institution's experience moving from theory to trial
1Department of Patient Care Services, University of Michigan Medical Center, Ann Arbor, USA.
Journal of Nursing Care Quality
|August 1, 1997
Summary
Nursing needs a plan to evaluate clinical outcomes using electronic health records and unified nursing language. This study details an approach to identify useful concepts and indicators for a concurrent information system, aiding clinicians and researchers.
Area of Science:
- Health Informatics
- Nursing Science
- Clinical Outcomes Research
Background:
- Increasing use of electronic health records necessitates standardized nursing terminologies.
- Growing public demand for accountability in clinical outcomes requires robust evaluation methods.
- The convergence of technology and accountability drives the need for nursing outcome evaluation.
Purpose of the Study:
- To describe a nursing service and school of nursing's approach to identifying clinical concepts and indicators.
- To explore the potential of these concepts and indicators for integration into information systems.
- To facilitate retrospective data analysis for clinicians and researchers.
Main Methods:
- Collaborative identification of clinically relevant concepts and indicators.
- Planning for the integration of identified concepts into a concurrent information system.
- Development of a data repository for retrospective analysis.
Main Results:
- Initial identification of useful concepts and indicators for clinical practice.
- Demonstrated potential for embedding these elements into an information system.
- Early lessons learned from the implementation process.
Conclusions:
- A systematic approach is crucial for nursing to evaluate clinical outcomes.
- Integrating identified concepts and indicators into information systems can support evidence-based practice.
- Continuous refinement and adaptation are necessary for successful implementation.