[Nursing records for discharge. Report of the nursing history].
The quality of care within our health care system depends upon an active and dynamic communication which bridges the different levels of care (primary and hospital) and will permit a continuity of services between the distinct parts. To insure this success, the authors propose an outpatient nursing record that will follow the patient upon his or her discharge. This record, to be called the "Discharged Patient Report", will be directed to other medical professionals so that they can be informed of previous treatments that the patient has received. Included in the report will be items such as; the previous nursing interactions that were used on the patient, how problems were resolved, possible other solutions, and health care information given to the patient. Using the report in this way will give us a great tool to know our patients and better understand how to serve them.
Camacho Ojeda
A
A
Servicio de Cirugía del Hospital Infanta Elena de Huelva.
Llanes Montero
E
E
García Requena
C
C
Romero Corchero
M
M
D000553:Ambulatory Care; D003142:Communication; D003266:Continuity of Patient Care / Q000458:organization & administration*; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D008875:Middle Aged; D009730:Nursing Assessment; D009737:Nursing Records; D010347:Patient Care Planning; D010351:Patient Discharge; D011785:Quality Assurance, Health Care
Informe de enfermería al alta. El resumen de la historia de enfermería hecho realidad.