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Titolo:
A computerised guideline for pressure ulcer prevention
Autore:
Quaglini, S; Grandi, M; Baiardi, P; Mazzoleni, MC; Fassino, C; Franchi, G; Melino, S;
Indirizzi:
Univ Pavia, Dipartimento Informat & Sistemist, I-27100 Pavia, Italy Univ Pavia Pavia Italy I-27100 nformat & Sistemist, I-27100 Pavia, Italy Fdn S Maugeri, IRCCS, Clin Lavoro & Riabilitaz, I-27100 Pavia, Italy Fdn SMaugeri Pavia Italy I-27100 oro & Riabilitaz, I-27100 Pavia, Italy
Titolo Testata:
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
, volume: 58, anno: 2000,
pagine: 207 - 217
SICI:
1386-5056(200009)58:<207:ACGFPU>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Keywords:
nursing informatics; practice guideline; guideline adherence; decision support systems; decubitus ulcer; prevention;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Quaglini, S Univ Pavia, Dipartimento Informat & Sistemist, Via Ferrata 1, I-27100 Pavia, Italy Univ Pavia Via Ferrata 1 Pavia Italy I-27100 100 Pavia, Italy
Citazione:
S. Quaglini et al., "A computerised guideline for pressure ulcer prevention", INT J MED I, 58, 2000, pp. 207-217

Abstract

This paper illustrates the implementation of a computerised guideline for pressure ulcer prevention. In particular, it describes the aspects related to the site-specification of a guideline delivered by the Agency for HealthCare Policy Research (AHCPR), to its integration with the electronic patient record, and to its implementation within the clinical routine. The primary goal of the system is both to facilitate nurses assessing the risk of ulcer development, and to manage patients at risk by producing daily prevention work-plans. Concerning this functionality, particular attention has beenpaid to manage nurse's non-compliance with the guideline suggestions and to collect data for evaluating the guideline impact. Moreover, since it is well known that nurses are often over-loaded, the human computer interactionhas been studied in such a way to optimise the time spent for data input. An additional functionality of the system is the novice nurses' education -they can browse a graphical representation of the guideline, asking details about the different tasks, and they can simulate patients to obtain real-time advice. The educational tool is written in Java and it is based on a representation of the guideline as a relational database. A preliminary evaluation of the system has been performed and the results are presented on the management of about 40 patients. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/07/20 alle ore 23:07:53