Elements for a report card: one institution's experience moving from theory to trial.
The emerging computerized patient record, the movement toward a unified nursing language, and increasing accountability to the public for clinical outcomes are converging forces that require a coherent plan if nursing is to evaluate outcomes. The article describes a nursing service and school of nursing's approach and beginning experiences in identifying concepts and indicators that are useful to clinicians. These concepts and indicators have the potential to be embedded in a concurrent information system that would feed a data repository used retrospectively by clinicians and researchers. The article also discusses results to date and lessons learned.
Robinson
J O
JO
Department of Patient Care Services, University of Michigan Medical Center, Ann Arbor, USA.
Finch
D
D
D016208:Databases, Factual / Q000592:standards; D006801:Humans; D007255:Information Services; D016347:Medical Records Systems, Computerized / Q000592:standards; D008824:Michigan; D009737:Nursing Records / Q000592:standards; D009739:Nursing Services / Q000145:classification / Q000592:standards*; D017063:Outcome Assessment, Health Care; D011787:Quality of Health Care; D013333:Student Health Services