Standardized nursing terminology exists

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Reference no: EM133867848

Question

Mike, from information technology (IT), is working with the nursing teams to make sure that standardized nursing terminology exists for the new electronic health record (EHR) system that will also meet the meaningful use (MU) criteria. He is discovering that different nursing departments use different terminologies. For example, the operating room (OR) is using Perioperative Nursing Data Set (PNDS) terminology, other departments use NANDA terminology, other departments are still using the paper system, and while an outside clinic uses their own "local" terminology. In the team meeting, he asks the nurses if they can only use one documentation system. The responses he gets helps him to realize the complexity of this issue, as they all respond "no." Mike then suggests the team works on setting standards and policies for how data standards, including standardized terminology, will be developed. What one recommendation would you make to help develop a policy for this hospital?

Reference no: EM133867848

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