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护理工作微机管理,是现代护理管理的必然趋势。我国目前应用微机于护理管理工作有诸多方面,如病人信息、ICU微机管理、护理管理系统、日常事务管理系统、护理教学训练系统等等。1997年以来我院将微机用于整体护理病历的书写与管理,逐步编制完成一套完整的整体护理病历(以下简称护理病历)软件,该软件的运行,大大缩短了护士书写病历的时间,提高了工作效率,促进了整体护理工作的开展。一、软件系统的设计 (一)根据护理病历格式制定护理表格,包括入院评估表、住院评估表、护理计划单、护理记录单、出院指导单,整体护理质量评估表、入院宣教、健康教育、护理宣教等做为整体护理
Nursing work computer management, is the inevitable trend of modern nursing management. At present, there are many applications of microcomputer in nursing management in our country, such as patient information, ICU microcomputer management, nursing management system, daily affairs management system, nursing teaching training system and so on. Since 1997, the hospital computer will be used for the writing and management of the overall nursing records, and gradually completed the preparation of a complete set of nursing records (hereinafter referred to as nursing records) software, the software operation, greatly reducing the time nurses write medical records and improve The work efficiency, and promote the overall care work. First, the software system design (A) based on the nursing record format to develop nursing forms, including admission assessment form, hospital evaluation form, nursing plan, nursing record sheet, discharge guidance sheet, the overall quality of care assessment form, admission education, health education, Nursing education as a whole care