title: Development of Pain flowsheet based on electronic nursing record system.
abstract: Pain assessment and control is the most important issue in medical fields. To manage patient pain effectively with high quality, we need a Pain flowsheet to share patient information of pain between staffs. Nurses already input more information into their electronic nursing record. We focus how to integrate each data and show appropriately without nurse's duplicated work. Finally we develop the Pain flowsheet based on nursing record, that includes the pattern of pain, influential factors, how to implement previously, what to do pain control. This study shows that well designed structured nursing records is an essential basement to advance medical process. In addition, we expect to develop more helpful functions through how to reorganize and combine each data.
authors.affiliation: Division of Nursing, Yonsei University Healthcare System.
authors.forename: Jungmin
authors.initials: J
authors.lastname: Lee
authors.forename: Youngah
authors.initials: Y
authors.lastname: Kim
authors.forename: Hyunsoon
authors.initials: H
authors.lastname: Jung
authors.forename: Malsoon
authors.initials: M
authors.lastname: Song
mesh_terms: D000465:Algorithms; D003628:Database Management Systems; D057286:Electronic Health Records; D055991:Health Records, Personal; D006801:Humans; D016247:Information Storage and Retrieval / Q000379:methods*; D009737:Nursing Records / Q000706:statistics & numerical data*; D010146:Pain / Q000175:diagnosis* / Q000451:nursing*; D056910:Republic of Korea