E-nursing documentation as a tool for quality assurance.
The article presents the results of a project with which we describe the reengineering of nursing documentation. Documentation in nursing is an efficient tool for ensuring quality health care and consequently quality patient treatment along the whole clinical path. We have taken into account the nursing process and patient treatment based on Henderson theoretical model of nursing that consists of 14 basic living activities. The model of new documentation enables tracing, transparency, selectivity, monitoring and analyses. All these factors lead to improvements of a health system as well as to improved safety of patients and members of nursing teams. Thus the documentation was developed for three health care segments: secondary and tertiary level, dispensaries and community health care. The new quality introduced to the documentation process by information and communication technology is presented by a database model and a software prototype for managing documentation.
Rajkovic
Vladislav
V
Faculty of Organizational Sciences, University of Maribor, Kranj, Slovenia. vladislav.rajkovic@fov.uni-mb.si
Sustersic
Olga
O
Rajkovic
Uros
U
D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D009732:Nursing Care; D011785:Quality Assurance, Health Care; D017524:Slovenia