title: Changing to computerized documentation--plus!
abstract: A recent change to a computerized documentation system has had a positive influence on productivity, reliability of documentation, quality assurance, nurse satisfaction and professional practice. This software system combines the care plan and nurses' notes and is standard-based. Each patient's care plan is compiled from Units of Care, which provide a menu covering nursing diagnosis, medical diagnosis, chief complaints and special procedures and events.
authors.forename: J
authors.initials: J
authors.lastname: Town
mesh_terms: D004282:Documentation; D006801:Humans; D009737:Nursing Records; D010347:Patient Care Planning; D011785:Quality Assurance, Health Care; D012984:Software