Information Completeness and Consistency of Inpatient Fall-Event Reports.

Reporting system need to correctly classify information about adverse clinical management events to develop preventative and corrective strategies. We investigated the completeness and consistency of the data, collected using the fall-event reporting system of a hospital, to understand the strengths and weaknesses of the current system.

Analysis of a Locally Controlled Vocabulary in an Electronic Health Records for Evidence-Based Inpatient Fall-Prevention Care.

A local controlled vocabulary provides a way to organize nursing documentation in electronic health record systems. However, a such vocabulary may not be always linked to standard nursing terminology or standard content. We explored a local nursing vocabulary set used in inpatient fall-prevention care at a large academic hospital with the aim of identifying if the standard nursing care was covered.

Comparing Inpatient Falls Guidelines to Develop an ICNP.

This study compared and synthesized clinical guidelines for inpatient falls with the aim of developing an ICNP®-based nursing catalogue for use in electronic nursing records. The identified content will influence nursing services provided to patients and the associated documentation.