An interdisciplinary documentation performance improvement project.
An Interdisciplinary Documentation Performance Improvement Task Force was created to evaluate and revise the documentation system at an academic medical center. The primary goal of the documentation project was to establish a standardized documentation system that reflected interdisciplinary planning of care for all of the organization's inpatient populations. This article identifies the process used to revise and implement an interdisciplinary documentation system. Project implementation and outcomes as well as recommendations and future initiatives are included.
Davidson
Nancy
N
Nephrology/Renal Transplant Unit, Medical University of South Carolina, Charleston, South Carolina 29425, USA.
Egbert
Kim
K
Merchant
Mary
M
Padgette
Donna
D
Rankine
Karen
K
D000046:Academic Medical Centers / Q000458:organization & administration*; D004282:Documentation / Q000592:standards*; D005568:Forms and Records Control / Q000592:standards*; D006801:Humans; D008499:Medical Records / Q000592:standards*; D009737:Nursing Records / Q000592:standards; D010347:Patient Care Planning / Q000458:organization & administration; D019555:Physician-Nurse Relations; D013022:South Carolina; D017749:Total Quality Management / Q000379:methods*