title: Implementing the Nursing Outcomes Classification in a clinical information system in a tertiary care setting.
abstract: Implementing Nursing-Sensitive Outcomes Classification (NOC) is consistent with the goal of the Department of Nursing at this tertiary care center to include the Nursing Minimum Data Set in the electronic medical record (EMR). This article describes the implementation and evaluation of the NOC in selected patient care units where a clinical information system is used in conjunction with departmental patient care guidelines. In light of identified limitations, the NOC was determined to be useful and comprehensive as measured by the frequency of its use, the positive feedback by staff, and the minimal additions identified for the classification.
authors.affiliation: Mayo Medical Center, Department of Nursing, Rochester, MN, USA.
authors.forename: J A
authors.initials: JA
authors.lastname: Timm
authors.forename: J G
authors.initials: JG
authors.lastname: Behrenbeck
mesh_terms: D006751:Hospital Information Systems; D006801:Humans; D016347:Medical Records Systems, Computerized; D008910:Minnesota; D009738:Nursing Service, Hospital / Q000145:classification* / Q000592:standards*; D017063:Outcome Assessment, Health Care / Q000145:classification*; D017410:Practice Guidelines as Topic; D016730:Program Development; D015397:Program Evaluation; D009626:Terminology as Topic; D018875:Vocabulary, Controlled