MARC

LEADER 00000nab a2200000uu 4500
001 236342382
003 UK-CbPIL
022 |a 1527-6546 
022 |a 1547-5069 
022 |a 0363-2792 
022 |a 0743-5150 
024 7 |a 10.1111/j.1547-5069.2001.00075.x  |2 doi 
035 |a 236342382 
045 2 |b d20010101  |b d20010331 
084 |a 11253588 
084 |a 37455  |2 nlm 
100 1 |a Staggers, Nancy 
245 1 |a History and trends in clinical information systems in the United States 
260 |b Blackwell Publishing Ltd.  |c First Quarter 2001 
513 |a Journal Article 
520 3 |a 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. 
610 4 |a Department of Defense 
650 2 2 |a Decision Making, Computer-Assisted 
650 1 2 |a Decision Support Systems, Clinical  |x trends 
650 2 2 |a Hospital Information Systems 
650 2 2 |a Humans 
650 2 2 |a Internet 
650 2 2 |a Medical Records Systems, Computerized 
650 1 2 |a Nursing Services  |x trends 
650 2 2 |a Systems Integration 
650 2 2 |a United States 
651 4 |a United States--US 
653 |a Patients 
653 |a Technological change 
653 |a Pharmacy 
653 |a Documentation 
653 |a Trends 
653 |a Health care policy 
653 |a Nursing care 
653 |a Laboratories 
653 |a Hospitals 
653 |a Information systems 
653 |a Decision support systems 
653 |a Automation 
653 |a Health care industry 
653 |a Health informatics 
653 |a Departments 
653 |a 20th century 
653 |a Nurses 
653 |a Physicians 
653 |a Order entry 
653 |a Patient-centered care 
653 |a Managed care 
653 |a Acute services 
653 |a Standardization 
653 |a Change agents 
653 |a Information technology 
653 |a Health information 
653 |a Medical records 
653 |a Literature reviews 
653 |a Clinical nursing 
653 |a Clinical information 
653 |a Future 
653 |a Support networks 
653 |a Nursing 
653 |a Medical decision making 
653 |a Information sources 
700 1 |a Cheryl Bagley Thompson 
700 1 |a Snyder-Halpern, Rita 
773 0 |t Journal of Nursing Scholarship  |g vol. 33, no. 1 (First Quarter 2001), p. 75-81 
786 0 |d ProQuest  |t Sociology Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/236342382/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text + Graphics  |u https://www.proquest.com/docview/236342382/fulltextwithgraphics/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/236342382/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch