Publication: Historia clínica informatizada de enfermería en el Departamento de Torrevieja. Salud como instrumento de gestión de calidad
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Date
2009
Authors
Cerezo Sanmartín, Margarita. ; Gutiérrez Aranda, JM. ; Perán Artero, S. ; Gómez Gonzálvez, G. ; Carrasco Gutiérrez, P.
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Publisher
Murcia : Servicio de Publicaciones de la Universidad de Murcia
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DOI
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info:eu-repo/semantics/article
Description
Abstract
En la sociedad de la información del siglo XXI, la historia clínica electrónica (HCE) es un hecho que
no está por igual desarrollado en todos los países. En el Departamento de Salud de Torrevieja,
Alicante, se trabaja con un modelo de HCE único que engloba a todas las áreas incluida
enfermería y en un nivel avanzado de operabilidad en cuanto a manejo de datos.
Objetivos:
1.- Desarrollo de los sistemas de información con el fin de facilitar la comunicación e intercambio de
datos entre los distintos profesionales de atención especializada y primaria que componen el
Departamento de Salud.
2.- Aunar y optimizar los conocimientos propios de los profesionales enfermeros e informáticos, a
través del trabajo en conjunto.
Metodología: Para llevar a cabo esta mejora en los registros de enfermería se ha utilizado la
aplicación informática, “Florence”, modelo de Historia Clinica Electrónica única y global para el
Departamento de Salud de Torrevieja que consta de dos entornos: Florence Gestión (área
financiera- contable y área de recursos humanos) y Florence clínico (área clínico-asistencial).
A través del trabajo en equipo de Informáticos y profesionales de enfermería que conocen el
sistema e inquietudes de los profesionales se obtiene un producto doblemente valorado en cuanto a
metodología enfermera y suma de los últimos conocimientos tecnológicos.
Conclusiones: Los registros de enfermería se consideran un instrumento efectivo para reflejar toda
la información necesaria para poder coordinar y proporcionar unos cuidados de enfermería de
máxima calidad al estar almacenados de forma integral. Por otro lado se asegura la disponibilidad
de toda la información de los procesos salud-enfermedad de un individuo, asegurando la
confidencialidad.
ABSTRACT In the information society of the 21 st century, it is a fact that the Electronic Clinical History (ECH) is not developed in every country. In Torrevieja Salud Health Department, Alicante (Spain), they work with a unique ECH that includes all divisions, including the nursing ones and an advanced operability level in regards to data management. Objectives: 1.- To develop all the information sources to facilitate the communication at all levels of care, so any professional in the community or at the hospital can retrieve information about the patient. 2.- To gather the nursing staff and computer technicians knowledge by working together. Methodology: In order to improve the nursing records, they have used a computer program named “FLORENCE”, which is a model of a unique clinical history for the Health Department of Torrevieja. Florence is divided in two environments: Florence Gestión (accountant,-financial, and HH RR scopes) and FLORENCE (clinical assitance scope). This program comes as the result of the teamwork from IT and nursing staff who are knowledgeable of the concerns of the professionals. A product with double value because it combines the nursing methodology and state-of-art technological advances. Conclusions: Nursing records are valued as an effective instrument to empower the continuation of nursing care and coordinate that care at the best quality, as they are registered in a unique and single program. On the other hand, it ensures constant availability of all the informatio
ABSTRACT In the information society of the 21 st century, it is a fact that the Electronic Clinical History (ECH) is not developed in every country. In Torrevieja Salud Health Department, Alicante (Spain), they work with a unique ECH that includes all divisions, including the nursing ones and an advanced operability level in regards to data management. Objectives: 1.- To develop all the information sources to facilitate the communication at all levels of care, so any professional in the community or at the hospital can retrieve information about the patient. 2.- To gather the nursing staff and computer technicians knowledge by working together. Methodology: In order to improve the nursing records, they have used a computer program named “FLORENCE”, which is a model of a unique clinical history for the Health Department of Torrevieja. Florence is divided in two environments: Florence Gestión (accountant,-financial, and HH RR scopes) and FLORENCE (clinical assitance scope). This program comes as the result of the teamwork from IT and nursing staff who are knowledgeable of the concerns of the professionals. A product with double value because it combines the nursing methodology and state-of-art technological advances. Conclusions: Nursing records are valued as an effective instrument to empower the continuation of nursing care and coordinate that care at the best quality, as they are registered in a unique and single program. On the other hand, it ensures constant availability of all the informatio
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