title: Addressing the Unique Needs of an Electronic Health Record in a Neonatal Intensive Care Unit.
abstract: Documentation in an electronic health record (EHR) should match the nurse workflow for unique patient populations and their correlated units, but pros and cons exist with such EHR customization. Integration of our NICU EHR with other units was a complex process that required nurses to customize each patient record because neonates have specific care needs. We present concepts related to EHR customization that are applicable to any unit with a unique patient population.
authors.forename: Carol
authors.initials: C
authors.lastname: Shade
authors.forename: Karen
authors.initials: K
authors.lastname: Kelly
authors.forename: Karen
authors.initials: K
authors.lastname: Hofmann
mesh_terms: D004282:Documentation / Q000379:methods / Q000592:standards; D057286:Electronic Health Records / Q000592:standards*; D006301:Health Services Needs and Demand; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal / Q000458:organization & administration*; D017283:Neonatal Nursing / Q000379:methods / Q000458:organization & administration / Q000592:standards; D048108:Nursing Informatics / Q000379:methods; D057188:Workflow
keywords: EHR; clinical documentation; electronic health record; neonatal; neonatal intensive care unit; nursing informatics