Quality of the electronic nursing records of a highly complex hospital in the city of Corrientes. Year 2021.
Introduction: recording the care that nursing provides daily to patients is an essential task, both for providing adequate health quality and for the development of the profession. Objective: the objective was to identify the quality of the electronic nursing records of a highly complex hospital in...
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Sanatorio Allende. Departamento de enfermería
2023
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/notasenf/article/view/42639 |
| Aporte de: |
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I10-R322-article-42639 |
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Universidad Nacional de Córdoba |
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Notas de Enfermería |
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Español |
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Artículo revista |
| topic |
quality of health technology electronic health record information management calidad de la tecnología en salud registro electrónico de salud gestión de la información qualidade da tecnologia em saúde prontuário eletrônico gestão da informação |
| spellingShingle |
quality of health technology electronic health record information management calidad de la tecnología en salud registro electrónico de salud gestión de la información qualidade da tecnologia em saúde prontuário eletrônico gestão da informação Ledesma, Débora Meza, Norma Vergara, Verónica Villalba, Gabriela Medina, Oscar Quality of the electronic nursing records of a highly complex hospital in the city of Corrientes. Year 2021. |
| topic_facet |
quality of health technology electronic health record information management calidad de la tecnología en salud registro electrónico de salud gestión de la información qualidade da tecnologia em saúde prontuário eletrônico gestão da informação |
| author |
Ledesma, Débora Meza, Norma Vergara, Verónica Villalba, Gabriela Medina, Oscar |
| author_facet |
Ledesma, Débora Meza, Norma Vergara, Verónica Villalba, Gabriela Medina, Oscar |
| author_sort |
Ledesma, Débora |
| title |
Quality of the electronic nursing records of a highly complex hospital in the city of Corrientes. Year 2021. |
| title_short |
Quality of the electronic nursing records of a highly complex hospital in the city of Corrientes. Year 2021. |
| title_full |
Quality of the electronic nursing records of a highly complex hospital in the city of Corrientes. Year 2021. |
| title_fullStr |
Quality of the electronic nursing records of a highly complex hospital in the city of Corrientes. Year 2021. |
| title_full_unstemmed |
Quality of the electronic nursing records of a highly complex hospital in the city of Corrientes. Year 2021. |
| title_sort |
quality of the electronic nursing records of a highly complex hospital in the city of corrientes. year 2021. |
| description |
Introduction: recording the care that nursing provides daily to patients is an essential task, both for providing adequate health quality and for the development of the profession. Objective: the objective was to identify the quality of the electronic nursing records of a highly complex hospital in the city of Corrientes. Methodology: a cross-sectional descriptive quantitative study was carried out where 133 digital medical records were reviewed using an adapted and previously validated tool. Results: specifically, the patient identification variable obtained good quality, regarding the assessment record, it was identified that 92% of the medical records registered less than 6 indicators, a poor quality, and the remaining 8% registered regular quality, and the variable interventions obtained a poor quality with 87% registering the indicators. Conclusion: in the results of the investigation, it was concluded that the quality of the electronic nursing records of the hospital's intensive care service is of poor quality compared to the electronic record of the nursing process. |
| publisher |
Sanatorio Allende. Departamento de enfermería |
| publishDate |
2023 |
| url |
https://revistas.unc.edu.ar/index.php/notasenf/article/view/42639 |
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I10-R322-article-426392023-11-06T23:47:52Z Quality of the electronic nursing records of a highly complex hospital in the city of Corrientes. Year 2021. Calidad de los registros electrónicos de enfermería de un hospital de alta complejidad de la ciudad de Corrientes. Año 2021. Qualidade do prontuário eletrônico de enfermagem de um hospital de alta complexidade da cidade de Corrientes. Ano 2021. Ledesma, Débora Meza, Norma Vergara, Verónica Villalba, Gabriela Medina, Oscar quality of health technology electronic health record information management calidad de la tecnología en salud registro electrónico de salud gestión de la información qualidade da tecnologia em saúde prontuário eletrônico gestão da informação Introduction: recording the care that nursing provides daily to patients is an essential task, both for providing adequate health quality and for the development of the profession. Objective: the objective was to identify the quality of the electronic nursing records of a highly complex hospital in the city of Corrientes. Methodology: a cross-sectional descriptive quantitative study was carried out where 133 digital medical records were reviewed using an adapted and previously validated tool. Results: specifically, the patient identification variable obtained good quality, regarding the assessment record, it was identified that 92% of the medical records registered less than 6 indicators, a poor quality, and the remaining 8% registered regular quality, and the variable interventions obtained a poor quality with 87% registering the indicators. Conclusion: in the results of the investigation, it was concluded that the quality of the electronic nursing records of the hospital's intensive care service is of poor quality compared to the electronic record of the nursing process. Introducción: hacer el registro de los cuidados que la enfermería proporciona diariamente a los pacientes, es una tarea esencial, tanto para dar una adecuada calidad sanitaria como para el desarrollo de la profesión. Objetivo: el objetivo fue identificar la calidad de los registros electrónicos de enfermería de un hospital de alta complejidad de la ciudad de Corrientes. Metodología: se realizó un estudio cuantitativo de tipo descriptivo transversal donde se revisaron 133 historias clínicas digitales mediante una herramienta adaptada y previamente validada. Resultados: de forma específica, la variable identificación del paciente obtuvo calidad buena, en cuanto al registro de la valoración se identificó que el 92 % de las historias clínicas registraron menos de 6 indicadores, una calidad deficiente, y el 8 % restante registró calidad regular, y la variable intervenciones obtuvo una calidad deficiente con un 87% de registro de los indicadores. Conclusión: en los resultados de la investigación se llegó a la conclusión de que, la calidad de los registros electrónicos de enfermería del servicio de terapia intensiva del hospital es de calidad deficiente respecto al registro electrónico del proceso enfermero. Introdução: registrar os cuidados que a enfermagem presta diariamente aos pacientes é tarefa essencial, tanto para a prestação de uma saúde de qualidade adequada, quanto para o desenvolvimento da profissão. Objetivo: o objetivo foi identificar a qualidade dos registros eletrônicos de enfermagem de um hospital de alta complexidade da cidade de Corrientes. Metodologia: realizou-se um estudo quantitativo descritivo transversal onde foram revistos 133 prontuários digitais por meio de um instrumento adaptado e previamente validado. Resultados: especificamente, a variável identificação do paciente obteve qualidade boa, quanto ao registro de avaliação, identificou-se que 92% dos prontuários registraram menos de 6 indicadores, a qualidade ruim, e os 8% restantes registraram qualidade regular, e a variável as intervenções obtiveram uma qualidade ruim com 87% registrando os indicadores. Conclusão: nos resultados da investigação concluiu-se que a qualidade do prontuário eletrônico de enfermagem do serviço de terapia intensiva do hospital é de baixa qualidade em relação ao prontuário eletrônico do processo de enfermagem. Sanatorio Allende. Departamento de enfermería 2023-11-06 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/notasenf/article/view/42639 10.59843/2618-3692.v24.n42.42639 Notas de Enfermería; Vol. 24 Núm. 42 (2023): Notas de Enfermería; 26-33 2618-3692 1668-8821 10.59843/2618-3692.v24.n42 spa https://revistas.unc.edu.ar/index.php/notasenf/article/view/42639/42992 Derechos de autor 2023 Sanatorio Allende https://creativecommons.org/licenses/by-nc/4.0 |