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Folly Beach Library
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9 a.m. – 8 p.m.
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Main Library
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Auditing completion of nursing records as an outcome indicator for identifying patients at risk of developing pressure ulcers, falling, and social vulnerability: An observational study.
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- Author(s): López, María; Fernández‐Castro, Mercedes; Martín‐Gil, Belén; Muñoz‐Moreno, María Fe; Jiménez, José María
- Source:
Journal of Nursing Management; May2022, Vol. 30 Issue 4, p1061-1068, 8p- Subject Terms:
AUDITING; SCIENTIFIC observation; HEALTH facility administration; PRESSURE ulcers; PSYCHOLOGICAL vulnerability; RESEARCH methodology; HEALTH outcome assessment; DOCUMENTATION; ACCIDENTAL falls; RESEARCH funding; DESCRIPTIVE statistics; ELECTRONIC health records; NURSING records; COVID-19 pandemic; DISEASE risk factors - Source:
- Additional Information
- Abstract: Aim: To evaluate the completion of nursing records through scheduled audits to analyse risk outcome indicators. Background: Nursing records support clinical decision‐making and encourage continuity of care, hence the importance of auditing their completion in order to take corrective action where necessary. Method: This was an observational descriptive study carried out from February to November 2020 with a sample of 1131 electronic health records belonging to patients admitted to COVID‐19 hospital units during three observation periods: pre‐pandemic, first wave, and second wave. Results: A significant reduction in nursing record completion rates was observed between pre‐pandemic period and first and second waves: Braden scale 40.97%, 28.02%, and 30.99%; Downton scale: 43.74%, 22.34%, and 33.91%; Gijón scale: 40.12%, 26.23%, and 33.64% (p < 0.001). There was an increase in the number of records completed between the first and second waves following the measures adopted after the quality audit. Conclusions: The use of scheduled audits of nursing records as quality indicators facilitated the detection of areas for improvement, allowing timely corrective actions. Implications for Nursing Management: Support from nursing managers at health care facilities to implement quality assessment programmes encompassing audits of clinical record completion will encourage the adoption of measures for corrective action. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Nursing Management is the property of Hindawi Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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