Search PubMed⌕ Search

Biomedical subjects

William Goossen

Publications and source records attributed to William Goossen.

5 recordsLinked to original sources

Information technology and patient safety in nursing practice: an international perspective.

When people become patients, they place their trust in their health care providers. As providers assume responsibility for their diagnosis and treatment, patients have a right to expect that this will include responsibility for their safety during all aspects of care. However, increasing epidemiological data make it clear that patient safety is a global problem. Improved nursing care may prevent many adverse events, and nursing must take a stronger leadership role in this area. Although errors are almost inevitable, safety can be improved, and health care institutions are increasingly making safety a top priority. Information technology provides safety benefits by enhancing communication and delivering decision-support; its use will likely be a cornerstone for improving safety. This paper will discuss the status of patient safety from an international viewpoint, provide case studies from different countries, and discuss information technology solutions from a nursing perspective.

Humans↗

Model once, use multiple times: reusing HL7 domain models from one domain to the other.

The Dutch national ICT institute in healthcare (www.nictiz.nl) developed a domain information model for perinatology, to map to the Health Level 7 Reference Information Model (HL7 RIM). This model was constructed with the intention to make it reusable for other domains in order to achieve a national infrastructure based on the HL7 RIM. In two projects, the perinatology model was reused, which lead to some changes to better express the domain. It proves valuable to have a kind of generic domain model, which can be adapted easily to other domains. In these projects, information for hart infarction (cardiology) and stroke (neurology) was modelled. Few domain specific changes where necessary, which could be made following the same methodology. Both the models and the methodology prove to be re-usable.

Cardiology↗

Testing the ISO nursing reference terminology model for mapping.

PURPOSE: The ISO IS 18104 is intended for helping the nursing profession to integrate their terminologies into computer systems and into larger health care reference terminologies. One purpose of the standard is to map between different terminologies. METHOD: This mapping was tested, using three terminologies that are relevant for nursing in the Netherlands. Concepts and terms where selected, and their equivalence was determined by experts, and next these were dissected. RESULTS: The dissection revealed that several concepts can easily be interchanged among the three example terminologies, while others cannot, or only for specific purposes. CONCLUSIONS: The ISO IS 18104 fulfills this purpose very well and can be considered the gold standard for mapping of nursing terminologies.

Netherlands↗

Validity and reliability of the Nursing Minimum Data Set for the Netherlands (NMDSN).

UNLABELLED: The Nursing Minimum Data Set for the Netherlands (NMDSN) describes nursing care based on nursing phenomena, interventions and outcomes. The validity and reliability of its data collection has not been tested yet. PURPOSE: To report about the discriminative validity and the interrater reliability of the NMDSN. DESIGN: Data were collected in an intensive care ward, in a nursing home and in a residential home. The unit of measurement and analysis is the 'patient day'. The analysis for validity consisted of ridits calculations, and their graphical representations. Interrater reliability was measured by percentage agreement and Cohen's kappa. RESULTS: Graphs illustrate the differences on most nursing phenomena and interventions as expected beforehand. The percentage agreements for the residential home vary from 60.4 to 100%, and the kappa statistics from -0.09 to 0.85, indicating a poor to almost perfect interrater reliability. CONCLUSION: Intensive care patients and patients in the nursing home have more problems and need more nursing interventions compared with general hospital patients, while the patients in the residential home have lesser of both. This illustrates the discriminative validity of the NMDSN. The kappa values for various NMDSN variables are sufficient. A similar test in the general hospital is recommended.

Adult↗