A public health nursing informatics data-and-practice quality project.
Automation of nursing documentation in client records is one of today's formidable challenges in healthcare settings. Some stakeholders view standardized nursing language as a fundamental component of an automated record, with the end goal of generating valid, reliable data on nursing services and client outcomes. However, few successful applications of standardized nursing language for practice standards and data generation exist in the literature. A joint practice-and-data quality project based on standardized nursing language in an automated platform was undertaken by four local public health departments. Outcomes of this project included articulation of standards for nursing practice and creation and implementation of a sound data quality infrastructure for nursing documentation of client assessments, service delivery information, and client outcomes.
Monsen
Karen A
KA
Washington County Department of Public Health and Environment, Stillwater, MN 55082, USA. Karen.Monsen@co.washington.mn.us
Fitzsimmons
Laura L
LL
Lescenski
Barbara A
BA
Lytton
Amy B
AB
Schwichtenberg
Linda D
LD
Martin
Karen S
KS
D019090:Case Management / Q000458:organization & administration; D019091:Critical Pathways; D003625:Data Collection / Q000592:standards; D003627:Data Interpretation, Statistical; D020000:Decision Support Systems, Clinical / Q000458:organization & administration; D004282:Documentation / Q000592:standards; D006801:Humans; D007373:Interinstitutional Relations; D016389:Maternal-Child Nursing / Q000458:organization & administration; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D009730:Nursing Assessment; D048108:Nursing Informatics / Q000458:organization & administration; D009737:Nursing Records / Q000592:standards*; D010043:Outcome and Process Assessment, Health Care; D010353:Patient Education as Topic / Q000458:organization & administration; D011159:Population Surveillance; D017410:Practice Guidelines as Topic; D011637:Public Health Nursing / Q000458:organization & administration*; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D019984:Quality Indicators, Health Care / Q000458:organization & administration; D018875:Vocabulary, Controlled