for Continuing Medical Education, Clinical Center of Serbia, fDepartment for Medical ... In 2010, a nursing team was formed with a task of development electronic nursing ... 2014 European Federation for Medical Informatics and IOS Press.
e-Health – For Continuity of Care C. Lovis et al. (Eds.) © 2014 European Federation for Medical Informatics and IOS Press. This article is published online with Open Access by IOS Press and distributed under the terms of the Creative Commons Attribution Non-Commercial License. doi:10.3233/978-1-61499-432-9-1213
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Development and Implementation of Perioperative Nursing Processes through user Software “Syntegra” STOJKOVIC Ia,1, VASILJEVIC Nb, ERDELJANOVIC Tc, VLAISAVLJEVIC Zd, PEJOVIC De,MILOSEVIC Ze,STANISAVLJEVIC Df, TRAJKOVIC Gf and MILIC Nf a Clinic for Thoracic surgery, bClinic for Cardiosurgery, cClinic for Otorhinolaryngology and Maxillofacial Surgery, dClinic for Gastroenterology, eCenter for Continuing Medical Education, Clinical Center of Serbia, fDepartment for Medical Statistics and Informatics, Medical Faculty University of Belgrade Keywords. Information system, Nursing informatics, Perioperative health care, Perioperative nursing processes, software
Introduction Existing health information system (HIS) is missing a set of activities performed by nurses in surgical wards, thus losing the continuity of surgical care. 1. Methods In 2010, a nursing team was formed with a task of development electronic nursing documentation in the largest medical facility of the Balkans. Clinical center of Serbia have 8000 employees, 44 departments and almost 90.000 patients per year, with 50.000 surgical interventions performed each year. Developed set of perioperative nursing activities was implemented by user software “Syntegra”. The system was MySQL based, Windows platform, developed by Power buider 10.5 Sybase. 2. Results Throughout this application, the existing HIS is upgraded for following minimal data set of perioperative nursing activities: nursing diagnosis, care plan, care goals, patient outcomes, nursing recipient list and discharge letter, pain list assessment, wound care list, awareness assessment list and record vital signs list. 3. Discussion Nursing activities are implemented through electronic health record, thus continuing surgical care process that could be charged adequately in the future. 1
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