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Journal of the American Medical Informatics Association, Vol 2, 260-266, Copyright © 1995 by American Medical Informatics Association

ARTICLES

Care planning as a strategy to manage variation in practice: from care plan to integrated person-based record

JD Hoy and AQ Hyslop
Health Systems Division, National Health Service in Scotland, Edinburgh, United Kingdom.

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.


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W. T. F. Goossen, P. J. M. M. Epping, T. Feuth, T. W. N. Dassen, A. Hasman, and W. J. A. van den Heuvel
A Comparison of Nursing Minimal Data Sets
J. Am. Med. Inform. Assoc., March 1, 1998; 5(2): 152 - 163.
[Abstract] [Full Text]


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Copyright © 1995 by the American Medical Informatics Association.