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临床电子护理病历的开发及使用
引用本文:朱加敏,胡晓兰. 临床电子护理病历的开发及使用[J]. 中国护理管理, 2009, 9(7): 56-57
作者姓名:朱加敏  胡晓兰
作者单位:解放军第251医院护理部,075000,河北省张家口市
摘    要:
阐述了开发临床电子护理病历的意义,文章结合临床护理工作的实际。需要,提出了临床电子护理病历的实用书写方法。包括各护理模板的设计及其功能与使用方法,如:一般护理记录单,危重患者护理记录单,压疮预防监控传报单等的设计及使用方法。总结了临床电子护理病历使用效果和体会。

关 键 词:电子病历  开发应用  临床电子工作  护理模板设计

Development and application of electronic nursing record system of clinical nursing
ZHU Jia-ming,HU Xiao-lan. Development and application of electronic nursing record system of clinical nursing[J]. Chinese Nursing Management, 2009, 9(7): 56-57
Authors:ZHU Jia-ming  HU Xiao-lan
Affiliation:ZHU Jia-ming,HU Xiao-Ian//Department of Respiratory Medicine,No.251 Hospital of PLA,Zhangjiakou,Hebei province,075000 China
Abstract:
This article explored the significance of the development of electronic nursing record system,which combined with the actual needs of clinical care and put forward the practical writing method of electronic nursing records.It included the establishment of nursing template,the function and application of the nursing template,such as the establishment and application of general nursing records,critical nursing records and the declaration of bedsore prevention and surveillance.Finally the effect and experience...
Keywords:electronic medical record  development and application
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