Evaluation and Optimization of an Inpatient Daily Cares Flowsheet

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Identifier 2020_Jensen
Title Evaluation and Optimization of an Inpatient Daily Cares Flowsheet
Creator Jensen, Clayton
Subject Advanced Practice Nursing; Education, Nursing, Graduate; Inpatients; Patient Care Management; Quality of Health Care; Electronic Health Records; Documentation; Workflow; Efficiency; Nursing Records; Practice Guidelines as Topic; Length of Stay; Nursing Informatics; Quality Improvement
Description Clinical documentation is one of the highest priorities of any clinician. Documentation is only second to the actual care of the patient and could be considered another dimension or extension of patient care (Andrews & St Aubyn, 2015). Ask any clinician about the importance of clinical documentation, and you might hear the common phrase "If it is not charted, it didn't happen" implying the importance for clinicians to document everything. Without care documentation, we can't know all that we have done for a patient, and without knowing what we have done, we can't know what we need to do. Over time, the process of patient care documentation has evolved from paper charting to its current state of electronic charting systems, a common functionality in electronic health records (EHRs). Current EHR systems use several different documentation techniques, but flowsheet documentation is very common. The primary objective of this project is to focus on the most commonly use flowsheet among all clinicians, the Daily Cares flowsheet. The Daily Cares flowsheet is a flowsheet used to document acts of daily living (ADLs) the patient and clinician have or have not performed for the patient's ultimate recovery and well being during their hospital stay.
Relation is Part of Graduate Nursing Project, Master of Science, MS, Nursing Informatics
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2020
Type Text
Rights
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Language eng
ARK ark:/87278/s6519npn
Setname ehsl_gradnu
ID 1595857
Reference URL https://collections.lib.utah.edu/ark:/87278/s6519npn
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