La historia clínica electrónica. Revisión y análisis de la actualidad. Diraya: la historia de salud electrónica de Andalucía

Cocina, Emilio González; Torres, Francisco Pérez

doi:10.1016/s1131-3587(07)75248-2

Cited by 11 publications

(4 citation statements)

References 22 publications

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“…In order to complete the information regarding past trauma history (PTHx) of the patients included in the study, the Andalusian Regional Health Service Database (Diraya®) [ 35 ] was also consulted. This database, in operation since 1999, includes the patients’ medical history and records of any health care received at more than 1500 centers operated by the Andalusian Public Health Service.…”

Section: Methodsmentioning

confidence: 99%

Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients

et al. 2017

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ObjectiveEstimate the effectiveness of brief interventions in reducing trauma recidivism in hospitalized trauma patients who screened positive for alcohol and/or illicit drug use.MethodsDynamic cohort study based on registry data from 1818 patients included in a screening and brief intervention program for alcohol and illicit drug use for hospitalized trauma patients. Three subcohorts emerged from the data analysis: patients who screened negative, those who screened positive and were offered brief intervention, and those who screened positive and were not offered brief intervention. Follow-up lasted from 10 to 52 months. Trauma-free survival, adjusted hazard rate ratios (aHRR) and adjusted incidence rate ratios (aIRR) were calculated, and complier average causal effect (CACE) analysis was used.ResultsWe found a higher cumulative risk of trauma recidivism in the subcohort who screened positive. In this subcohort, an aHRR of 0.63 (95% CI: 0.41–0.95) was obtained for the group offered brief intervention compared to the group not offered intervention. CACE analysis yielded an estimated 52% reduction in trauma recidivism associated with the brief intervention.ConclusionThe brief intervention offered during hospitalization in trauma patients positive for alcohol and/or illicit drug use can halve the incidence of trauma recidivism.

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Section: Methodsmentioning

confidence: 99%

Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients

et al. 2017

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“…Age, gender, presence of a diagnosed psychiatric disorder, mechanism of injury (traffic accident, sports accident, aggression, same-level falls or falls from a height, blows-cuts and other mechanisms), severity of the trauma measured by the injury severity score (ISS) [26], hospital mortality, and variables of exposure to the aforementioned substances were collected prospectively during the implementation of the secondary prevention protocol project. Cognitive impairment prior to trauma; diagnoses of diabetes, osteoporosis, hypertension, heart disease, and obesity; and/or impaired balance, musculoskeletal conditions or sensory system conditions were collected retrospectively during the months of January to May 2016 for this study, using the Medical History of the Andalusian Health System Diraya 1 [27]…”

Section: Study Variablesmentioning

confidence: 99%

Association of benzodiazepines, opioids and tricyclic antidepressants use and falls in trauma patients: Conditional effect of age

et al. 2020

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“…Switching to digital format will alter the recording method but not the contents of the documents. This means electronic clinical records will continue to act as the hub of patients’ clinical information and the support for communication among the different health professionals treating the patients [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of Nursing Methodology Training Sessions on Completion of the Virginia Henderson Assessment Record

et al. 2020

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The Virginia Henderson model, integrated in the computer application GACELA Care, helps to standardise the nursing assessment and establish precise and personalised nursing diagnoses. The aim was to determine the extent of completion of the initial patient assessment record after nurses following a training programme on nursing methodology. A quasi-experimental, retrospective, randomised, observational, single-group study was performed in two stages: pre-training and post-training. Voluntary training sessions were held for the nurses that work with GACELA Care. The completion of the initial patient assessment using the needs of Virginia Henderson and the Norton scale was evaluated before and after the training sessions. Completion of the needs of Virginia Henderson in the initial patient assessment increased from 94.2% to 100% (p = 0.014). Completion of “hygiene/skin” increased significantly from 83.3% to 95.8% (pre-training and post-training, respectively). The remaining needs did not show statistical significance. Recording of the Norton scale increased from 63.13% to 92.5% (p < 0.001). The training sessions on nursing methodology have improved the completion of records and inclusion of normal characteristics, defining characteristics and risk factors, and improving pressure ulcer risk assessment through the Norton scale.

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La historia clínica electrónica. Revisión y análisis de la actualidad. Diraya: la historia de salud electrónica de Andalucía

Cited by 11 publications

References 22 publications

Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients

Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients

Association of benzodiazepines, opioids and tricyclic antidepressants use and falls in trauma patients: Conditional effect of age

Impact of Nursing Methodology Training Sessions on Completion of the Virginia Henderson Assessment Record

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