PMID: 9171525May 1, 1997Paper

Re-engineering intensive care: the role of informatics

AACN Clinical Issues
A J Barton, M M Russin

Abstract

Managed care and quality improvement are two driving forces in the current health care environment. The pressure of capitation and the recent focus on outcomes of care have generated new incentives to restructure care delivery to control costs. Intensive care units, once revenue centers, are becoming cost centers. Re-engineering, or redesigning, the process of care entails examining premises for ability to provide services as well as considering how to do things more efficiently. The assumption is that all aspects of a process are legitimately subject to examination and restructuring. Information systems provide a powerful tool to support re-engineering. Nursing informatics, which pertains to nursing data, information, and knowledge has major implications for hospital information systems. This article explores possible changes in intensive care and the role of informatics in a changing health care environment.

References

Feb 1, 1991·QRB. Quality Review Bulletin·J M Luce
Jan 1, 1989·Image--the Journal of Nursing Scholarship·J R Graves, S Corcoran
Mar 1, 1994·Journal of the American Medical Informatics Association : JAMIA·J G OzboltJ R Hayden
Mar 1, 1994·Nursing Outlook·J C McCloskey, G M Bulechek
Feb 1, 1996·The Joint Commission Journal on Quality Improvement·I L CohenF V Booth

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Citations

Jun 27, 2000·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·L Neinstein
Apr 21, 2005·Nursing Forum·Mary E FarrellDonna Schwartz-Barcott
Apr 20, 2006·Journal of the American Medical Informatics Association : JAMIA·Joyce C NilandDouglas C Stahl
Aug 12, 1999·Critical Care Clinics·C A Jastremski
Jul 16, 2003·Journal of Advanced Nursing·Sarah RussellCorinne op't Hoog Co
Aug 12, 2003·AACN Clinical Issues·Marianela E Zytkowski

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