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The Clinical Care Classification (CCC) System is an American Nurses Association (ANA)-recognized comprehensive, coded, nursing terminology standard. [4] In 2007, the CCC was accepted by the Department of Health and Human Services [5] as the first national nursing terminology.
The Nursing Minimum Data Set (NMDS) is a classification system which allows for the standardized collection of essential nursing data. The collected data are meant to provide an accurate description of the nursing process used when providing nursing care. The NMDS allow for the analysis and comparison of nursing data across populations ...
The health informatics community is still growing, it is by no means a mature profession, but work in the UK by the voluntary registration body, the UK Council of Health Informatics Professions has suggested eight key constituencies within the domain–information management, knowledge management, portfolio/program/project management, ICT ...
Health information management's standards history is dated back to the introduction of the American Health Information Management Association, founded in 1928 "when the American College of Surgeons established the Association of Record Librarians of North America (ARLNA) to 'elevate the standards of clinical records in hospitals and other medical institutions.'" [3]
Palpate any abnormal masses or structures on the front and back of the chest. Abnormal masses or sinus tracts may point to infections. [14] To observe chest wall expansion on the back of the chest, place palms on the patient's back with fingers parallel to the ribs and thumbs at the 10th ribs.
It makes the process of nursing assessment visible through what is presented in the documentation content. [4] During nursing assessment, a nurse systematically collects, verifies, analyses and communicates a health care client's information to derive a nursing diagnosis and plan individualized nursing care for the client. [5]
NANDA International (formerly the North American Nursing Diagnosis Association) is a professional organization of nurses interested in standardized nursing terminology, that was officially founded in 1982 and develops, researches, disseminates and refines the nomenclature, criteria, and taxonomy of nursing diagnosis.
Computers, Informatics, Nursing, 30(3),157-163. Milstein, Julia A. & Bates, David W. (2010, March–April). Paperless healthcare: Progress and challenges of an IT-enabled healthcare system. Business Horizons, 53(2), 119–130. Sidrov J (2006). "It ain't necessarily so: The electronic health record and the unlikely prospect of reducing ...