Improving documentation of initial nursing assessment.
Greater efficiency and ease of use results when nurses use an admission assessment form that is integrated with patient care outcome standards. Steps in developing such a focus are described.
North
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SD
Serkes
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PC
D005568:Forms and Records Control; D006801:Humans; D009730:Nursing Assessment / Q000592:standards*; D009737:Nursing Records / Q000592:standards*; D017063:Outcome Assessment, Health Care; D010347:Patient Care Planning