電子カルテからの看護データを全国看護データベースに収集する実現可能性:パイロットスタディ
Justin L Miller1, Gordon F West2, Judy A Orina3
1Madigan Army Medical Center, Tacoma, WA; School of Nursing, University of Alabama at Birmingham, Birmingham, AL.
Background:
The Military Health System's (MHS) electronic health record (EHR) and a national nursing database (NND) have the potential to drive quality at the unit and hospital levels.
Purpose:
To assess the feasibility of using the MHS EHR to collect and submit nursing sensitive indicator (NSI) data to an NND.
Methods:
This descriptive study was conducted at two military hospitals over 12 months. Twenty-eight NSIs were collected and submitted to an NND. Logged hours represented total time investment of participation.
Discussion:
Seven data collection methods were identified. Automated data extraction of NSIs was most expedient but limited due to EHR documentation variability. Manual data extraction was most time-consuming, but most prevalent at both unit and hospital levels.
Conclusion:
Standardizing documentation workflows in the EHR could improve interoperability and foster efficient data extraction. Participation in an NND promotes standardization of metrics, allowing facilities to benchmark data and drive nursing quality improvement.
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