A Development of New Integrated Management System for Nursing Information

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1.To integrate hospital information system(HIS), handheld information terminal for nursing(HT), and computer station for nursing information management(ST), the following subjects have been conducted ; (1) development of coding dictionary of standard narrative description usually used in nursing records, (2) development of framework for electronic version of standard nursing plan and generation system for action lists, (3) investigation of an architecture of handheld terminals for gathering action lists generated by the system, (4) prototype development of electronic version of internal medicine textbook which can be retrieved from the nursing information management station.2.According to the evaluation study conducted in the ward of neurosurgery, data synchronization among HIS,HT,and ST is important factor for success of the system and it is revealed that the necessary factor could not be achieved only by the use of current commercial-based HT.The reasons are that (1) wireless communication systems are necessary for real-time synchronization of the data, (2) enough number of alternative terminals is necessary because the time needed for charging the batteries is so long, (3) real-time bidirectional communication functions, especially from the HIS,the ST toward the HTs, are needed to use any terminals at any time.3.The overall results are as follows, (1) it is found that the real time bidirectional communication functions are necessary for the system, (2) it is necessary to computerize nursing records and the typical descriptions usually used are systematized and coded in thr form of dictionary, (3) a basic data model for electronic nursing plan is created, and(4) the DTD for exchanging electronic nursing record has been created.