PubMed · 8321473
Changing to computerized documentation--plus!
Abstract
A recent change to a computerized documentation system has had a positive influence on productivity, reliability of documentation, quality assurance, nurse satisfaction and professional practice. This software system combines the care plan and nurses' notes and is standard-based. Each patient's care plan is compiled from Units of Care, which provide a menu covering nursing diagnosis, medical diagnosis, chief complaints and special procedures and events.
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J Town. 1993. Changing to computerized documentation--plus!. https://pubmed.ncbi.nlm.nih.gov/8321473/
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