Data Mining Nursing Care Plans of End-of-Life Patients: A Study to Improve Healthcare Decision Making

被引：33

作者：

Almasalha, Fadi ^{[1
]}

Xu, Dianhui ^{[2
]}

Keenan, Gail M. ^{[4
,8
]}

Khokhar, Ashfaq ^{[5
,8
]}

Yao, Yingwei ^{[4
,8
]}

Chen, Yu-C. ^{[3
]}

Johnson, Andy ^{[6
,8
]}

Ansari, R. ^{[7
,8
]}

Wilkie, Diana J. ^{[4
]}

机构：

[1] Appl Sci Private Univ, Amman, Jordan

[2] Litepoint Co, Sunnyvale, CA USA

[3] Pixar Animat Studios, Emeryville, CA USA

[4] Univ Illinois, Coll Nursing, Chicago, IL 60607 USA

[5] Univ Illinois, Dept Elect & Comp Engn, Chicago, IL USA

[6] Univ Illinois, Dept Comp Sci, Chicago, IL USA

[7] Univ Illinois, Dept Engn, Chicago, IL USA

[8] Univ Illinois, Chicago, IL USA

来源：

INTERNATIONAL JOURNAL OF NURSING KNOWLEDGE | 2013年 / 24卷 / 01期

基金：

美国国家卫生研究院;

关键词：

Data mining; electronic health record; end-of-life hospital care; pain; plan of care; KNOWLEDGE DISCOVERY; BAYESIAN NETWORKS; ASSOCIATIONS;

D O I：

10.1111/j.2047-3095.2012.01217.x

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

PURPOSE: To reveal hidden patterns and knowledge present in nursing care information documented with standardized nursing terminologies on end-of-life (EOL) hospitalized patients. METHOD: 596 episodes of care that included pain as a problem on a patient's care plan were examined using statistical and data mining tools. The data were extracted from the Hands-On Automated Nursing Data System database of nursing care plan episodes (n=40,747) coded with NANDA-I, Nursing Outcomes Classification, and Nursing Intervention Classification (NNN) terminologies. System episode data (episode=care plans updated at every hand-off on a patient while staying on a hospital unit) had been previously gathered in eight units located in four different healthcare facilities (total episodes=40,747; EOL episodes=1,425) over 2 years and anonymized prior to this analyses. RESULTS: Results show multiple discoveries, including EOL patients with hospital stays (<72hr) are less likely (p<.005) to meet the pain relief goals compared with EOL patients with longer hospital stays. CONCLUSIONS: The study demonstrates some major benefits of systematically integrating NNN into electronic health records.

引用

页码：15 / 24

页数：10

共 37 条

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