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The Need for Standardised Documents in Continuity of Care : Results of Standardising the eNursing Summary

  • Continuity of care is a concept that is defined as the uninterrupted and coordinated care provided to a patient and that includes an informational dimension which describes the information exchange between the parties involved. In nursing, the nursing summary is the main instrument to ensure informational continuity of care. The aim of this paper is to present an HL7 Clinical Document Architecture based document standard for the eNursing Summary and to discuss the need for harmonizing these results at international level. The eNursing Summary proposed in this paper was developed on the basis of several internationally accepted concepts, primarily the nursing process, the ISO 18104 Reference Terminology Model for Nursing and various data sets. The standardisation process embraced several phases of involving nursing experts for validating its structure and content. It was finally evaluated by a network of 100 healthcare organizations. We argue that the eNursing Summary is a good starting point for standardising nursing discharge and transfer documents on a global level. However, further work is needed to bring together the different national and international strands in standardisation.

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Metadaten
Author:Daniel Flemming, Ursula Hertha HübnerORCiD, Kai U. Heitmann, Frank Oemig, Sylvia ThunORCiD, Audrey Dickerson, Marcia Veenstra
Title (English):The Need for Standardised Documents in Continuity of Care : Results of Standardising the eNursing Summary
URN:urn:nbn:de:bsz:959-opus-20964
DOI:https://doi.org/10.3233/978-1-60750-588-4-1169
ISBN:978-1-60750-587-7
ISBN:978-1-60750-588-4
Parent Title (English):MEDINFO 2010
Publisher:IOS Press
Place of publication:Amsterdam, Berlin, Tokyo, Washington (DC)
Document Type:Conference Proceeding
Language:English
Year of Completion:2010
Release Date:2021/05/27
First Page:1169
Last Page:1173
Note:
13th World Congress on Medical Informatics (MEDINFO 2010), 12.09. - 15.09.2010, Cape Town (South Africa)
Faculties:Fakultät WiSo
DDC classes:600 Technik, Medizin, angewandte Wissenschaften / 610 Medizin, Gesundheit
Review Status:Veröffentlichte Fassung/Verlagsversion
Licence (German):License LogoCreative Commons - CC BY-NC - Namensnennung - Nicht kommerziell 4.0 International