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翻訳と辞書　辞書検索 [ 開発暫定版 ] スポンサード リンク Point-of-care documentation ： ウィキペディア英語版 Point-of-care documentation Clinical documentation is a record of the critical thinking and judgment of a health care professional, facilitating consistency and effective communication among clinicians.〔MARSH. (2006). Clinical Documentation - Putting the House in Order. Marsh’s Risk Consulting Practicing. Retrieved from http://www.usask.ca/nursing/docs/news/HC_Clinical_Documentation.pdf〕 Point of care (POC) documentation is the ability for clinicians to document clinical information while interacting with and delivering care to patients.〔Kohle-Ersher, A., Chatterjee, P., Osmanbeyoglu, H. U., Hochheiser, H., & Bartos, C. (2012). Evaluating the Barriers to Point-of-Care Documentation for Nursing Staff. Computers, Informatics, Nursing: CIN, 30(3), 126–33. doi:10.1097/NCN.0b013e3182343f14〕 The increased adoption of electronic health records (EHR) in healthcare institutions and practices creates the need for electronic POC documentation through the use of various medical devices.〔Carlson, E., Catrambone, C., Oder, K., Nauseda, S., Fogg, L., Garcia, B., Brown, F. M., et al. (2010). Point-of-Care Technology Supports Bedside Documentation. The Journal of Nursing Administration, 40(9), 360–5. doi:10.1097/NNA.0b013e3181ee4248〕 POC documentation is meant to assist clinicians by minimizing time spent on documentation and maximizing time for patient care.〔Lee, T.-T. (2007). Patients’ Perceptions of Nurses' Bedside Use of PDAs. Computers, Informatics, Nursing: CIN, 25(2), 106–11. doi:10.1097/01.NCN.0000263980.31178.bd〕 The type of medical devices used is important in ensuring that documentation can be effectively integrated into the clinical workflow of a particular clinical environment.〔Smith, K., Smith, V., Krugman, M., & Oman, K. (2005). Evaluating the Impact of Computerized Clinical Documentation. Computers, Informatics, Nursing: CIN, 23(3), 132–8. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/15900170〕 For example, using speech recognition and information has been studied as a way to write a handover narrative and fill out a nursing handover form for clinical proofing and sign-off with promising results.〔Suominen, H., Zhou, L., Hanlen, L., & Ferraro, G. (2015). Benchmarking Clinical Speech Recognition and Information Extraction: New Data, Methods, and Evaluations. JMIR Medical Informatics, 3(2), e19. http://medinform.jmir.org/2015/2/e19/〕 == Examples == Mobile technologies such as personal digital assistants (PDAs), laptop computers and tablets enable documentation at the point of care. The selection of a mobile computing platform is contingent upon the amount and complexity of data.〔Silvey, G. M., Macri, J. M., Lee, P. P., &Lobach, D. F. (2005). Direct Comparison of a Tablet Computer and a Personal Digital Assistant for Point-of-Care Documentation in Eye Care. AMIA Annual Symposium Proceedings, 2005, 689–693. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1560810/〕 To ensure successful implementation, it is important to examine the strengths and limitations of each device. Tablets are more functional for high volume and complex data entry, and are favoured for their screen size, and capacity to run more complex functions.〔Silvey, G. M., Macri, J. M., Lee, P. P., &Lobach, D. F. (2005). Direct Comparison of a Tablet Computer and a Personal Digital Assistant for Point-of-Care Documentation in Eye Care. AMIA Annual Symposium Proceedings, 2005, 689–693. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1560810/〕 PDAs are more functional for low volume and simple data entry and are preferred for their lightweight, portability and long battery life.〔Silvey, G. M., Macri, J. M., Lee, P. P., &Lobach, D. F. (2005). Direct Comparison of a Tablet Computer and a Personal Digital Assistant for Point-of-Care Documentation in Eye Care. AMIA Annual Symposium Proceedings, 2005, 689–693. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1560810/〕 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Point-of-care documentation」の詳細全文を読む スポンサード リンク 翻訳と辞書 : 翻訳のためのインターネットリソース Copyright(C) kotoba.ne.jp 1997-2016. All Rights Reserved.