History and trends in clinical information systems in the United States
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| Publicado en: | Journal of Nursing Scholarship vol. 33, no. 1 (First Quarter 2001), p. 75-81 |
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| Autor principal: | |
| Otros Autores: | , |
| Publicado: |
Blackwell Publishing Ltd.
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| Materias: | |
| Acceso en línea: | Citation/Abstract Full Text + Graphics Full Text - PDF |
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| Resumen: | To provide a synopsis of issues about clinical information systems for nurses not schooled in nursing informatics. The past, present, and future of clinical computing, including major factors resulting in the early hospital information systems (HIS) and decision support systems (DSS) in the United States, current advances and issues in managing clinical information, and future trends and issues. Literature review and analysis. The first HIS and DSS were used in the late 1960s and were focused on applications for acute care. The change from fee-for-service to managed care required a change in the design of clinical information systems toward more patient-centered systems that span the care continuum, such as the computer-based patient record (CPR). Current difficulties with CPR systems include lack of systems integration, data standardization, and implementation. Increased advances in information and technology integration and increased use of the Internet for health information will shape the future of clinical information systems. |
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| ISSN: | 1527-6546 1547-5069 0363-2792 0743-5150 |
| DOI: | 10.1111/j.1547-5069.2001.00075.x |
| Fuente: | Sociology Database |