Nursing Informatics NUR 3870 Assignment

Nursing Informatics NUR 3870 Assignment

Question 2

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Review the four standards categories described in chapter 7. Select two standards to discuss further. Include in your answer what type of standard it is (transport, vocabulary, context, or security) and a summary of the standard. You may “mix and match” (i.e choose one standard from different categories).

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What is nursing informatics?

Uniform Hospital Discharge Data Set
In the United States, the Uniform Hospital Discharge Data Set (UHDDS)
was developed over a 5-year period during the early 1970s. It identified the
minimum basic set of data elements to be collected from all hospital records
at the point of patient discharge from hospitals. In 1974, the UHDDS was
adopted and mandated by the Secretary of the Department of Health and
Human Services for collection by the U.S. National Committee on Vital and
Health Statistics (Abdellah, 1988; Pearce, 1988). The UHDDS provided the
model for the hospital discharge abstract that was subsequently developed
in Canada and ultimately evolved into the Discharge Abstract Database
(DAD), now maintained by the Canadian Institute for Health Information
(CIHI).
The care items included in the UHDDS focused on physician-derived
clinical data (specifically, medical diagnosis and procedures based on medical
treatments). There were absolutely no nursing clinical data included in minimum basic set of data elements to be collected from all hospital records
at the point of patient discharge from hospitals. In 1974, the UHDDS was
adopted and mandated by the Secretary of the Department of Health and
Human Services for collection by the U.S. National Committee on Vital and
Health Statistics (Abdellah, 1988; Pearce, 1988). The UHDDS provided the
model for the hospital discharge abstract that was subsequently developed
in Canada and ultimately evolved into the Discharge Abstract Database  this
data set. Patient care is not exclusively physician-directed; therefore, a data
set of this nature falls short of providing a complete, accurate representation
of information related to the operation of hospitals.