Improving the quality of urology ward round documentation
نویسندگان
چکیده
منابع مشابه
Post-acute surgical ward round proforma improves documentation
In health care, record keeping of doctor-patient encounters is vital for quality patient care and medico-legal reasons. We audited the documentation of post-acute consultant ward round (PACWR) in our department before and six months after an introduction of a proforma (standard form). The clinical notes of all patients admitted acutely under General Surgery over a period of one week before and ...
متن کاملImproving the quality of documentation of paediatric post-take ward rounds: the impact of an acrostic.
BACKGROUND Review of patients' notes while investigating clinical incidents showed a recurring problem of poor documentation of important aspects of the paediatric post-take ward round. PURPOSE OF THE STUDY To evaluate the impact of an acrostic (type of mnemonic), created to reflect the aspects of care that should be documented after every ward round, on the completeness of note keeping. ST...
متن کامل‘Take Ten’ improving the surgical post-take ward round: a quality improvement project
Background The surgical post-take ward round is a complex multidisciplinary interaction in which new surgical patients are reviewed and management plans formulated. Its fast-paced nature can lead to poor communication and inaccurate or incomplete documentation with potential detriment to patient safety. Junior team members often do not fully understand the diagnosis and management plan. Aims ...
متن کاملThe Thinking Doctor's Ward Round
Why the ward round? For folks of a certain age the very mention of ward rounds may conjure up the image of Sir Lancelot Spratt barking orders to an entourage of junior staff following in his wake. Whilst we no longer practice in such a hierarchical world, I fear we have neglected the importance of the ward round and with it the importance of the clinical decision making process itself. If you a...
متن کاملUsing a proforma to improve standards of documentation of an orthopaedic post-take ward round
In Trauma and Orthopaedics, a daily Trauma Meeting (TM) occurs, where the previous 24-hour take is discussed and a management plan is decided by the consultant on-take. The post-take ward-round (PTWR) usually follows. In the district general hospital (DGH) where this audit was conducted, clinical incidents and root-cause analysis revealed that the TM/PTWR documentation were suboptimal. We ident...
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ژورنال
عنوان ژورنال: International Journal of Surgery
سال: 2018
ISSN: 1743-9191
DOI: 10.1016/j.ijsu.2018.05.610