NDLI: Evaluation of a mobile shift report system on nursing documentation quality.

Please wait, while we are loading the content...

Evaluation of a mobile shift report system on nursing documentation quality.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Wu, Mei-Wen Lee, Ting-Ting Tsai, Tzu-Chuan Lin, Kuan-Chia Huang, Chi-Yi Mills, Mary Etta
Spatial Coverage	United States Taiwan
Description	Country affiliation: Taiwan Author Affiliation: Wu MW ( ChangHua Christian Hospital, Taiwan.)
Abstract	Nursing shift report is vital for patient care. Accordingly, healthcare facilities have made great efforts to establish a standardized nurse-to-nurse shift handoff process to ensure patient care quality. The purpose of this study was to determine whether the use of a standardized mobile intershift handoff system would affect the quality of nursing documentation. The study is based on nursing handoff records from 19 inpatient units in four major care areas (internal medicine, general surgery, obstetrics/pediatrics, and long-term care) of a medical center in central Taiwan. Data collection was performed before and after implementation of the mobile, point-of-care handoff system in 2010. A medical review tool was used to compare 25-item charting compliance on 228 charts. Results show that the designed content of the handoff system was related to a corresponding compliance change in initial assessment, pain reassessment, and use of accurate abbreviation. Although overall compliance rates among inpatient units varied, the statistical test showed that the pattern of changes was consistent. As more items were added to the new handoff system for reminder purposes, documentation compliance increased; however, since the new handoff system did not include nursing diagnosis, patient outcome tracking compliance was reduced. The results of the study reveal that implementing a standardized point-of-care handoff system could improve nursing documentation compliance and quality.
File Format	HTM / HTML
ISSN	15382931
Issue Number	2
Journal	CIN: Computers, Informatics, Nursing
Volume Number	31
e-ISSN	15389774
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2013-02-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Medical Informatics Discipline Nursing Nursing Records Standards Patient Handoff Joint Commission On Accreditation Of Healthcare Organizations Taiwan United States Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Nursing Health Informatics

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Implementing a computerized tool for shift handover report writing.

Pain management documentation quality as a reflection of nurses' clinical judgment.

Make it a habit: 2 weeks to bedside report.

An experience with implementation of NIC and NOC in a clinical information system.

CMS recognizes The Joint Commission for continued hospice deeming authority.

Validating patient safety in the endoscopy unit using the joint commission standards.

Improving handoff communication.

Are you ready for accreditation?

Joint Commission International Accreditation for Clinical Laboratories: Monitor, analyze and improve.

Evaluation of a mobile shift report system on nursing documentation quality.

Similar Documents

Implementing a computerized tool for shift handover report writing.

Pain management documentation quality as a reflection of nurses' clinical judgment.

Make it a habit: 2 weeks to bedside report.

An experience with implementation of NIC and NOC in a clinical information system.

CMS recognizes The Joint Commission for continued hospice deeming authority.

Validating patient safety in the endoscopy unit using the joint commission standards.

Improving handoff communication.

Are you ready for accreditation?

Joint Commission International Accreditation for Clinical Laboratories: Monitor, analyze and improve.

Evaluation of a mobile shift report system on nursing documentation quality.