"Reading between the lines" of flow sheet data: nurses' optional documentation associated with cardiac arrest outcomes
"Reading between the lines" of flow sheet data: nurses' optional documentation associated with cardiac arrest outcomes
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DOI：
10.1016/j.apnr.2011.06.002
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发表时间：
2012-11-01
影响因子：
2.2
通讯作者：
Vawdrey, David K.
中科院分区：
文献类型：
--
作者：
Collins, Sarah A.;Vawdrey, David K.
从历史上看，纸质流程表上的简短“评论”传达了患者的整体临床状态。我们分析了201例心脏骤停患者的电子健康记录流程表的内容和文档模式。自由文本评论与临床测量异常相关（p
Historically, short "comments" on paper-based flow sheets conveyed the patient's overall clinical state. We analyzed the content and documentation patterns of electronic health record flow sheets for 201 cardiac arrest patients. Free-text comments were associated with the abnormality of clinical measurements (p