Using system integration to revise documentation.
Within a 10-month time period, a new system-wide documentation common to five hospitals in the Evangelical Health System was designed and implemented. The documentation system is comprised of the Nursing Admission Assessment, Patient Care Plan, Patient Care Flowsheet, and Patient/Family Education Record. Examples of barriers and success factors as well as the system's framework are presented.
O'Brien
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Landstrom
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GL
D004282:Documentation / Q000379:methods*; D005568:Forms and Records Control / Q000379:methods; D016519:Hospitals, Religious; D007087:Illinois; D009737:Nursing Records