Zasnova funkcionalnih specifikacij sistema za dokumentiranje dializnega zdravljenja

magistrsko delo

Emina Keranović (Author), Uroš Rajkovič (Mentor), Mojca Bernik (Co-mentor)

Abstract

Z dokumentiranjem se v zdravstveni negi srečujemo vsakodnevno. Pogosto medicinsko osebje, ki preživi največ časa ob pacientu, meni, da je to zamudno in preobsežno. Čeprav se zavedamo pomembnosti dokumentiranja, to zaradi pomankanja časa in kadra pogosto izvedemo na najhitrejši možni način in s tem zabeležimo le podatke, ki jih subjektivno ocenimo kot pomembne. Časovna stiska kot posledica pomanjkanja zadostnega števila kadra nas s tem prisili v vsakodnevno, nedosledno dokumentiranje. V magistrski nalogi smo se osredotočili na dokumentiranje v zdravstvu. Opredelili smo se na kronično dializno zdravljenje, ki ni klasična oblika zdravljenja, ki smo jim priča na oddelkih, temveč gre za specifično obliko ambulantnega zdravljenja, kjer prihaja do hitro spreminjajočih se situacij in ukrepov. V tem trenutku na tem področju nimamo razvitega elektronskega dokumentiranja. Trenutno je papirnata dokumentacija edini način beleženja informacij, kar nam predstavlja veliko pomanjkljivost predvsem pri sledljivosti zdravstvenega osebja, ki je posamezen ukrep predpisalo oz. izvedlo. Zaradi nekaterih izhodišč v praksi smo se odločili predstaviti funkcionalne specifikacije sistema kot podlago za izdelavo programa elektronskega dokumentiranja. Naredili smo prvi korak pri razvoju programa v prihodnosti, ki bi nam omogočal natančno spremljanje pacientov in s tem poenostavili in predvsem izničili napake, ki se pojavljajo pri uporabi papirnate dokumentacije kot posledica človeške napake. Celoto smo vizualno podkrepili, kar nam omogoča bolj pregleden način ter tako nudi hitrejši zapis informacij. Izpostavili smo prednosti, slabosti, priložnosti in tveganja, ki smo jih zaznali pri zasnovi sistema. Osredotočili smo se predvsem na zasnovo sistema, ki bi ga bilo smiselno vpeljati in aktivno uporabiti v praksi.

Keywords

elektronsko dokumentiranje;dializa;zdravstvo;diplomske naloge;

Data

Language:	Slovenian
Year of publishing:	2021
Typology:	2.09 - Master's Thesis
Organization:	UM FOV - Faculty of Organizational Sciences
Publisher:	[E. Keranović]
UDC:	614
COBISS:	55042307
Views:	400
Downloads:	45
Average score:	0 (0 votes)
Metadata:

Other data

Secondary language:	English
Secondary title:	Designing functional specifications for a documenting system of dialysis treatment
Secondary abstract:	We encounter documenting in nursing care daily. The medical personnel who spend most of their time with the patient often find it time-consuming and excessive. Although we are aware of the importance of documenting, we often do this in the fastest possible way due to the lack of time and personnel. Thus, we record only the data that we assess as important subjectively. Time constraints, as the consequence of the lack of a sufficient quantity of personnel, thus force us into daily, inconsistent documentation. In the master's thesis, we focused on documenting in healthcare. We opted for chronic dialysis treatment, which is not a classic form of treatment that we witness at the departments, but a specific form of outpatient treatment where rapidly changing situations and measures occur. So far, we have not had developed electronic documentation in this area. Currently, paper documentation has been the only way to record information, which represents a major shortcoming, especially in the traceability of medical personnel who have prescribed or performed an individual measure. Due to some starting points in practice, we decided to present the functional specifications of the system as a basis for the development of an electronic documentation program. We have taken the first step in developing a program in the future that would allow us to monitor patients closely and, thus, simplify and, above all, eliminate errors that occur when using paper documentation as a result of human error. We have visually reinforced the whole, which enables us a more transparent way and, thus, offers faster recording of information. We pointed out the strengths, weaknesses, opportunities, and threats which we perceived in designing the system. We focused mainly on the design of the system which would make sense to introduce and use in practice actively.
Secondary keywords:	electronic documentation;dialysis treatment;paper documentation;dialysis book;
Type (COBISS):	Master's thesis/paper
Thesis comment:	Univ. v Mariboru, Fak. za organizacijske vede
Pages:	VII, 53 f.
ID:	12365450