Medication counseling: Analysis of electronic documentation using the clinical care classification system

Studies in Health Technology and Informatics

Volumn 160, Issue PART 1, 2010, Pages 284-288

  Saranto, Kaija ^a   Moss, Jacqueline ^b   Jylhä, Virpi ^a  

^a UNIVERSITY OF EASTERN FINLAND   (Finland)

^b UNIVERSITY OF ALABAMA AT BIRMINGHAM   (United States)

Author keywords

Counseling; Medication administration; Patient safety; Terminology

Indexed keywords

CLASSIFICATION SYSTEM; COUNSELING; ELECTRONIC DOCUMENTATION; ELECTRONIC PATIENT RECORD; ELECTRONIC PATIENT RECORD SYSTEM; MEDICATION REGIMEN; MEDICATION SAFETY; PATIENT SAFETY;

TERMINOLOGY;

EID: 78649505278     PISSN: 09269630     EISSN: 18798365     Source Type: Conference Proceeding    
DOI: 10.3233/978-1-60750-588-4-284     Document Type: Conference Paper

References (18)

1. Kerzman H, Baron-Epel O and Toren O. What do discharged patients know about their medication? Patient Education and Counseling. 2005:56:276-82.
2. Nurit P, Bella BC, Gila E and Revital Z. Evaluation of a nursing intervention project to promote patient medication education. Journal of Clinical Nursing. 2009:18:2530-2536.
3. Friberg F, Bergh A-L and Lepp M. In search of details of patient teaching in nursing documentation - an analysis of patient records in a medical ward in Sweden. Journal of Clinical Nursing. 2006:15:1550-1558.
4. Müller-Staub M, Lavin MA, Needham I and van Achterberg T. Nursing diagnoses, interventions and outcomes - application and impact on nursing practice: systematic review. Journal of Advanced Nursing 2006:56:514-531.
5. Dochterman J, Titler M, Wang J, Reed D, Pettit D, Mathew-Wilson M, Budreau G, Bulechek G, Kraus V, Kanak M. Describing use of Nursing Interventions for Three Groups of Patients. Journal of Nursing Scholarship 2005:37:57-66.
6. Saba VK and Taylor SL. Moving Past Theory. Use of a Standardized Coded Nursing Terminology to Enhance Nursing Visibility. CIN: Computers, Informatics, Nursing 2007:25:324-331.
7. Moss J, Damrongsak M and Sobko H. Representing critical care data using the clinical care classification. In: Proceedings of the American Medical Association Annual Symposium, Washington, DC, 2005; pp. 545-549.
8. Moss J, Andison M and Gallichio K. An Analysis of Narrative Nursing Documentation in an Otherwise Structured Intensive Care Clinical Information System. In: Proceedings of the American Medical Association Annual Symposium, Washington, DC, 2007; pp. 543-547.
9. Saba VK. Clinical Care Classification. 2009. http://www.sabacare.com
10. Ensio A and Saranto K. The Finnish Classification of Nursing Interventions (FiCNI) - Development and Use in Nursing Documentation. In Clark J (ed.) Naming Nursing. Proceedings of the first ACENDIO Ireland/UK Conference held September 2003 in Swansea, Wales UK. Bern: Verlag Hans Huber, 2003; pp. 191-195.
11. Jokinen T, Ensio A, Saranto K: Nursing Documentation using Classified Nursing Interventions. In Hyeoun-Ae Park, Peter Murray & Connie Delaney (eds.) Concumer-Centered Computer-Supported Care for Healthy People. Proceedings of NI2006. IOS Press, Amsterdam, 2006:995.
12. Saranto K, Ensio A, Jokinen T: Patient Medication - How is it documented? In Hyeoun-Ae Park, Peter Murray & Connie Delaney (eds.) Concumer-Centered Computer-Supported Care for Healthy People. Proceedings of NI2006. IOS Press, Amsterdam, 2006:738-741.
13. Ponnusankar S, Surulivelrajan M, Anandamoorthy N and Suresh B. Assessment of impact of medication counseling on patients' medication knowledge and compliance in an outpatient clinic in South India. Patient Education and Counceling. 2004:54:55-60.
14. Jylhä V, Saranto K. Electronic documentation in medication reconciliation - a challenge for health care professionals. Applied Nursing Research 2008:21:237-239.
15. Bates D. Combuterized physician order entry and medication errors: Finding a balance. Journal of Biomedical Informatics. 2005:38:259-261.
16. Ammenwerth E, Schnell-Inderst P, Machan C and Siebert U. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. Journal of American Medical Informatics Association. 2008:15:585-600.
17. Keohane CA, Bane AD, Featherstone E, Hayes J, Woolf S, Hurley A, Bates DW, Gandhi TK and Poon EG. Quantifying nursing workflow in medication administration. J Nurs Adm. 2008:38:19-26.
18. Jylhä V, Saranto K. Narrative Text in Structured Documentation of Medication Risks and Side Effects. In: Saranto K, Brennan P F, Park H, Tallberg M, Ensio A (eds.) Connecting Health and Humans. Proceedings of NI2009. Helsinki: IOS Press BV, 2009; pp. 434-438.