Author/Editor		Šušteršič, Olga; Rajkovič, Vladislav
Title		Model orodja za ugotavljanje kakovosti s pomočjo dokumetacije v zdravstveni negi
Translated title		Documentation model as a tool for quality assurance in nursing
Type		članek
Source		In: E-zdravje v Sloveniji. Zbornik kongresa Slovenskega društva za medicinsko informatiko; 2004 dec 1; Bled. Ljubljana: Slovensko društvo za medicinsko informatiko,
Publication year		2004
Volume		str. 94-107
Language		slo
Abstract		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.
Descriptors		NURSING RECORDS COMPUTER COMMUNICATION NETWORKS QUALITY ASSURANCE, HEALTH CARE