Avtor/Urednik		Šušteršič, Olga; Rajkovič, Vladislav
Naslov		Model orodja za ugotavljanje kakovosti s pomočjo dokumetacije v zdravstveni negi
Prevedeni naslov		Documentation model as a tool for quality assurance in nursing
Tip		članek
Vir		In: E-zdravje v Sloveniji. Zbornik kongresa Slovenskega društva za medicinsko informatiko; 2004 dec 1; Bled. Ljubljana: Slovensko društvo za medicinsko informatiko,
Leto izdaje		2004
Obseg		str. 94-107
Jezik		slo
Abstrakt		In the article we present results of a project with which we describe the reengineering of nursing documentation. Documentation in nursing is an efficient tool for ensuring health care quality and consequently patient treatment along the whole clinical path. We have taken into account the process method of nursing work and patient treatment based on Henderson theoretical model of nursing that consists of 14 basic living activities. The model of new documentation enables tracing, transparency, selectivity, follow-up and analyses. All the factors lead to improvements of health system as well as to increase in safety of patients and members of the nursing team. That is how documentation was developed for three health care segments: secondary and tertiary level, dispensaries and community health care. New quality brought to the documentation process by information and communication technology is presented by a database model and a software prototype for managing documentation.
Deskriptorji		NURSING RECORDS COMPUTER COMMUNICATION NETWORKS QUALITY ASSURANCE, HEALTH CARE