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Care Planning as a Strategy to Manage Variation in Practice: From Care Plan to Integrated Person-based Record

Care Planning as a Strategy to Manage Variation in Practice: From Care Plan to Integrated... Abstract This article begins with a summary of the trend toward a person-based health record, and the need to integrate data from a variety of sources to achieve this. A project is described that demonstrated problems with the structure of nursing care plans. These problems affected the ability to integrate care plan data into a clinical database capable of analysis to link control of process with clinical outcome. A second project is described that focused on the development of data sets holding higher-level descriptions suitable for the maintenance of a person-based record, but at a summarized level and with no clinical detail. Finally, a prototype care planning system is described that, while maintaining the data required by the Nursing Process, was more flexibly structured to support analysis and hierarchical levels of description. This content is only available as a PDF. Author notes Presented in part at Informatics: The Infrastructure for Quality Assessment and Improvement in Nursing, Austin, Texas, June 22–25, 1994. American Medical Informatics Association http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of the American Medical Informatics Association Oxford University Press

Care Planning as a Strategy to Manage Variation in Practice: From Care Plan to Integrated Person-based Record

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References (6)

Publisher
Oxford University Press
Copyright
American Medical Informatics Association
ISSN
1067-5027
eISSN
1527-974X
DOI
10.1136/jamia.1995.96010395
Publisher site
See Article on Publisher Site

Abstract

Abstract This article begins with a summary of the trend toward a person-based health record, and the need to integrate data from a variety of sources to achieve this. A project is described that demonstrated problems with the structure of nursing care plans. These problems affected the ability to integrate care plan data into a clinical database capable of analysis to link control of process with clinical outcome. A second project is described that focused on the development of data sets holding higher-level descriptions suitable for the maintenance of a person-based record, but at a summarized level and with no clinical detail. Finally, a prototype care planning system is described that, while maintaining the data required by the Nursing Process, was more flexibly structured to support analysis and hierarchical levels of description. This content is only available as a PDF. Author notes Presented in part at Informatics: The Infrastructure for Quality Assessment and Improvement in Nursing, Austin, Texas, June 22–25, 1994. American Medical Informatics Association

Journal

Journal of the American Medical Informatics Association – Oxford University Press

Published: Jul 1, 1995

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