title: Computerization of a Nursing Chart According to the Nursing Process.
abstract: The benefits associated with the computerization of clinical records are known since a long time ago. Documentation evolution from paper to electronic format aims to always improve communication, reduce errors and facilitate continuity of care. Ideally when improvements to nursing records are contemplated, they should consider the nurses needs, new functionality workflow impacts and correspondence with representation models of standardized data that are specific to their domains practices. The aim of this study was to describe the development and implementation of computerized nursing record at Hospital Italiano de Buenos Aires.
authors.affiliation: Health Informatics Department of Hospital Italiano de Buenos Aires.
authors.forename: María B
authors.initials: MB
authors.lastname: Schachner
authors.affiliation: Health Informatics Department of Hospital Italiano de Buenos Aires.
authors.forename: Zulma A
authors.initials: ZA
authors.lastname: González
authors.affiliation: Health Informatics Department of Hospital Italiano de Buenos Aires.
authors.forename: Janine A
authors.initials: JA
authors.lastname: Sommer
authors.affiliation: Health Informatics Department of Hospital Italiano de Buenos Aires.
authors.forename: Francisco J
authors.initials: FJ
authors.lastname: Recondo
authors.affiliation: Health Informatics Department of Hospital Italiano de Buenos Aires.
authors.forename: Fernando D
authors.initials: FD
authors.lastname: Gassino
authors.affiliation: Health Informatics Department of Hospital Italiano de Buenos Aires.
authors.forename: Daniel R
authors.initials: DR
authors.lastname: Luna
authors.affiliation: Health Informatics Department of Hospital Italiano de Buenos Aires.
authors.forename: Sonia E
authors.initials: SE
authors.lastname: Benítez
mesh_terms: D001118:Argentina; D004282:Documentation / Q000592:standards; D057286:Electronic Health Records / Q000458:organization & administration*; D016247:Information Storage and Retrieval / Q000592:standards*; D062527:Meaningful Use / Q000458:organization & administration*; D009323:Natural Language Processing; D048108:Nursing Informatics / Q000458:organization & administration / Q000592:standards; D009736:Nursing Process / Q000458:organization & administration*; D009737:Nursing Records; D017410:Practice Guidelines as Topic; D018875:Vocabulary, Controlled