title: Changing nursing practice: letting go of the nursing history on admission.
abstract: In this project, 2 performance improvement (PI) methodologies were used to evaluate the process of nursing admission and history collection. Nurses have a responsibility to methodically assess bedside care, ensuring that practice changes do not merely add on to an often inefficient workload but add value. This article illustrates the use of PI to modify the initial nursing inpatient admission assessment process.
authors.affiliation: Scripps Memorial Hospital, La Jolla, CA, USA. ackman.martha@att.net
authors.forename: Martha
authors.initials: M
authors.lastname: Ackman
authors.forename: Leonard A
authors.initials: LA
authors.lastname: Perry
authors.forename: Eileen
authors.initials: E
authors.lastname: Wolfard
authors.forename: Cynthia
authors.initials: C
authors.lastname: Steckel
authors.forename: Carol
authors.initials: C
authors.lastname: Hill
mesh_terms: D003362:Cost-Benefit Analysis; D017598:Efficiency, Organizational; D006801:Humans; D008487:Medical History Taking; D009096:Multi-Institutional Systems; D009730:Nursing Assessment / Q000379:methods* / Q000458:organization & administration; D009936:Organizational Innovation; D010343:Patient Admission; D010347:Patient Care Planning / Q000458:organization & administration*; D010865:Pilot Projects; D017064:Process Assessment, Health Care; D058996:Quality Improvement; D012044:Regression Analysis; D014481:United States; D016526:Workload