title: Documentation of Preventive Nursing Measures in the Elderly Trauma Patient: Potential financial Impact and the Health Record.
abstract: Hospital-acquired complications in older adults are significantly higher than in younger patients. Nursing measures to prevent hospital-acquired complications are generally mandated by nursing policy and are required documentation in hospital record systems. In this study, gaps in the nursing documentation of measures intended to prevent hospital-acquired complications in elderly trauma patients may be related to the documentation of these measures not being required entries in the system used by the facility. These findings highlight the importance of the relationship between nursing documentation requirements and the system used for the expedient documentation of nursing care.
authors.forename: Christine
authors.initials: C
authors.lastname: Cutugno
authors.forename: MaryAnn
authors.initials: M
authors.lastname: Hozak
authors.forename: Debra L
authors.initials: DL
authors.lastname: Fitzsimmons
authors.forename: Hulya
authors.initials: H
authors.lastname: Ertogan
mesh_terms: D000368:Aged; D005260:Female; D017048:Health Care Costs; D006801:Humans; D007049:Iatrogenic Disease / Q000191:economics / Q000517:prevention & control*; D008297:Male; D009737:Nursing Records; D014481:United States; D014947:Wounds and Injuries / Q000191:economics / Q000451:nursing*