Enhancing documentation for the orthopaedic patient.
A need for integrated, interdisciplinary documentation led to an assessment and evaluation of our current documentation system. This article describes the experiences of a two-hospital health care system in piloting and implementing documentation changes on an orthopaedic unit. Outcomes, conclusions, and a copy of the total joint plan of care are also included.
Brunt
B A
BA
Elland
L
L
Fleshman
L
L
Kovalchik
P
P
Wehling
G
G
D003266:Continuity of Patient Care; D019091:Critical Pathways / Q000458:organization & administration*; D005568:Forms and Records Control; D006801:Humans; D008499:Medical Records; D009737:Nursing Records; D019637:Orthopedic Procedures; D017063:Outcome Assessment, Health Care; D010348:Patient Care Team / Q000458:organization & administration*; D010865:Pilot Projects