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Point of care (POC) documentation is the ability for clinicians to document clinical information while interacting with and delivering care to patients. [10] The increased adoption of electronic health records (EHR) in healthcare institutions and practices creates the need for electronic POC documentation through the use of various medical devices. [11]
Point-of-care testing (POCT), also called near-patient testing or bedside testing, is defined as medical diagnostic testing at or near the point of care—that is, at the time and place of patient care. [1] [2] This contrasts with the historical pattern in which testing was wholly or mostly confined to the medical laboratory, which entailed ...
Point of care medical information summaries are defined as "web-based medical compendia specifically designed to deliver predigested, rapidly accessible, comprehensive, periodically updated, and evidence-based information" to healthcare providers. [1]
Point-of-care testing is designed to provide diagnostic tests at or near the time and place that the patient is admitted. POCT uses the concentrations of analytes to provide the user with information on the physiological state of the patient. [1] An analyte is a substance, chemical or biological, that is being analyzed using a certain instrument.
The American Nurses Association recognized the Omaha System as a standardized terminology to support nursing practice in 1992. In 2014, Minnesota became the first state to recommend that point-of-care terminologies recognized by the American Nurses Association be used in all electronic health records. The evidence underlying this decision was a ...
The Clinical Care Classification (CCC) System is a standardized, coded nursing terminology that identifies the discrete elements of nursing practice. The CCC provides a unique framework and coding structure. Used for documenting the plan of care; following the nursing process in all health care settings. [1]
The Standard "ISO/IEEE International Standard - Health informatics--Point-of-care medical device communication - Part 10207: Domain Information and Service Model for Service-Oriented Point-of-Care Medical Device Communication" [9] is derived from the IEEE 11073-10201 Domain Information Model. It is designed to meet the requirements of networked ...
A portable ultrasound machine used in the prehospital setting. Emergency ultrasound is used to quickly diagnose a limited set of injuries or pathologic conditions, [4] specifically those where conventional diagnostic methods would either take too long or would introduce greater risk to a person (either by transporting the person away from the most closely monitored setting, or exposing them to ...