Variability in Nursing Documentation Patterns across Patients' Hospital Stays.
AMIA Annu Symp Proc
; 2023: 1037-1046, 2023.
Article
em En
| MEDLINE
| ID: mdl-38222368
ABSTRACT
This study explores the variability in nursing documentation patterns in acute care and ICU settings, focusing on vital signs and note documentation, and examines how these patterns vary across patients' hospital stays, documentation types, and comorbidities. In both acute care and critical care settings, there was significant variability in nursing documentation patterns across hospital stays, by documentation type, and by patients' comorbidities. The results suggest that nurses adapt their documentation practices in response to their patients' fluctuating needs and conditions, highlighting the need to facilitate more individualized care and tailored documentation practices. The implications of these findings can inform decisions on nursing workload management, clinical decision support tools, and EHR optimizations.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pacientes
/
Cuidados Críticos
Tipo de estudo:
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
AMIA Annu Symp Proc
Assunto da revista:
INFORMATICA MEDICA
Ano de publicação:
2023
Tipo de documento:
Article