Using electronic health records and nursing assessment to redesign clinical early recognition systems
Open accessAbstract
As health-care organizations transition from paper to electronic documentation systems, capturing the nursing assessment electronically can play a fundamental role in transforming health-care delivery. Especially in preventive health, electronic capture of nursing assessment, combined with vital sign-based monitoring, can support early detection of physiological deterioration of patients. While vital sign-based Early Warning Systems have the potential to detect signals of physiological deterioration, their clinical interpretation and integration into the workflow in hospital-based care setting remain a challenge. This study presents a clinical early recognition algorithm using electronic health records (EHRs) coupled with an electronic Nurse Screening Assessment (NSA) that targets various health assessment categories and its integration into the nursing workflow. Data was collected retrospectively from a single institution (N=2,405 visits). χ2 tests showed significant differences between algorithms with and without NSA (P<0.01). This study provides a practical framework for facilitating the meaningful use of EHRs in hospitals.
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Predicting clinical outcomes such as mortality and readmission can help in early detection of patient physiological deterioration, which facilitates nursing workflow.
“Predicting these outcomes can help in the early detection of patient physiological deterioration [15], which facilitates nursing workflow.”
From Multimodal risk prediction with physiological signals, medical images and clinical notes (2024) · cites this paper as [15]
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- Authors
- Capan, M., Wu, P., Campbell, M., Mascioli, S., & Jackson, E. V.
- Affiliations
- Value Institute, Christiana Care Health System Newark U.S.A.
- Christiana Care Health System (US)
- ORCID
- Wu, Pan
- Venue
- Health Systems
- Publisher
- Informa UK Limited
- Published
- 2017-07
- Volume
- 6
- Issue
- 2
- Pages
- 112-121
- ISSN
- 2047-6965 (ISSN-L)
- 2047-6973
- OpenAlex
- W2301550665
- Cited by
- 16
- References
- 34
- Citations by year
- 2026: 1 · 2024: 5 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 2 · 2016: 1
- FWCI
- 4.18
- Type
- journal article
- Language
- en
- Open access
- green
- jdc.jefferson.edu
- Locations
- Health Systems (publishedVersion)
- The Medicine Forum (submittedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Health Sciences › Nursing › Issues, ethics and legal aspects › Nursing Diagnosis and Documentation
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Medicine › Surgery › Healthcare Technology and Patient Monitoring
- Keywords
- electronic health records, nursing assessment, early warning systems, vital signs monitoring, physiological deterioration, preventive medicine, hospital care
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