Data from: Evaluation of electronically supported nursing transfers between hospital and nursing home based on a test health telematics infrastructure: a case analysis

Background: Improper information transmission can lead to compromised patient safety and quality of life when patients are transferred from one setting to another. Electronic instruments may improve this situation, however, they are rarely used. Objective: The aim of this study therefore was to investigate the technical and organizational feasibility, usability, usefulness and completeness of an electronic instrument that is based on the German HL7 CDA standard for eNursing Summaries. Materials and methods: To this end, a test health telematics infrastructure, which included the German electronic health card, was established and nursing summary application was developed that allowed summary documents to be communicated between a hospital and a nursing home. The users were asked to evaluate the usability of the nursing summary application as well as to compare the usefulness and completeness of electronically and paper transmitted information. Results: This study demonstrated the feasibility of implementing an electronic nursing summary application that was based on the German HL7 CDA standard eNursing Summary and that was integrated in a test health telematics infrastructure. It could also be shown that the users rated this application as usable and that electronically supported patient transfers were superior to paper based ones. The use of the German electronic health card was regarded as a barrier by the users. Discussion: This study emphasizes the feasibility, relevance and barriers of electronically supported transfers of patients with nursing needs. Nurses working in hospitals and long-term care can integrate an application based on the HL7 CDA Standard ePfgebericht into their working processes and get better and more complete information. To ensure continuity of care in a sustainable manner in the future, the German HL7 CDA based eNursing Summary standard should become part of the German telematics infrastructure.背景：当患者在不同医疗场景间转诊时，信息传递不当可能会损害患者安全与生活质量。电子工具本可改善这一状况，但此类工具的实际应用却极为有限。 目的：本研究旨在探究一款基于德国HL7临床文档架构（HL7 CDA）标准的电子护理总结（eNursing Summaries）工具的技术可行性、组织可行性、易用性、实用性及信息完整性。 材料与方法：为此，本研究搭建了包含德国电子健康卡（German electronic health card）的医疗远程信息测试基础设施，并开发了可实现医院与养老院间护理总结文档互通的护理总结应用程序。研究人员邀请用户对该护理总结应用的易用性进行评估，并对比电子传输与纸质传输的信息实用性及完整性。 结果：本研究证实，基于德国HL7 CDA标准电子护理总结的电子护理总结应用程序，可在测试医疗远程信息基础设施中顺利部署，具备技术与组织可行性。同时，研究结果显示用户对该应用的易用性评价良好，且电子辅助的患者转诊流程显著优于纸质转诊流程。此外，用户认为德国电子健康卡的使用构成了该应用推广的一项障碍。 讨论：本研究凸显了针对有护理需求的患者开展电子辅助转诊的可行性、应用价值及现存障碍。医院与长期护理机构的护理人员可将基于HL7 CDA标准的电子护理报告（ePfgebericht）融入日常工作流程，从而获取更优质、完整的患者信息。未来，为可持续保障医疗照护的连续性，基于德国HL7 CDA的电子护理总结标准应纳入德国医疗远程信息基础设施体系。