نتایج جستجو برای: clinical documentation standards

تعداد نتایج: 1292435  

Journal: :Australian Journal of Clinical Education 2023

Background : Clinical documentation is a critical form of communication in healthcare settings. As defined by the Physiotherapy Practice Thresholds, clinical that complies with relevant professional and legal obligations requirement for all physiotherapists Australia New Zealand. Aims The aims this study were to explore experiences perceived support training needs physiotherapy students whilst ...

Journal: :BMJ quality improvement reports 2015
Madeleine Storey Simon Webster

Referrals to neurosurgical units are regularly made by doctors in the emergency department (ED), intensive care and acute medicine, following brain injuries sustained by both traumatic and non-traumatic processes. Although some centres accept electronic referrals, many still rely on telephone conversations with a specialist registrar. The flaw in this style of communication is that only informa...

Journal: :British Journal of Surgery 2022

Abstract Introduction Documentation is an important part of healthcare practitioners’ daily routine. The importance documentation well stress in the literature and by GMC's good medical practice. Good ensures patients receive best possible clinical care. Recently, Royal College Surgeons (RCS) published guidance aiming to improve reported poor quality operative documentation. Method RCS notes gu...

2015
Rachel Smyth Felicity Parton Paul Trikha

Decision making within orthopaedic centres predominantly occurs at the trauma meeting, where all decisions are made as a part of the multidisciplinary process. This is an essential handover process. Difficulties occur when teaching and detailed case discussions detract from the actual decision making process, leading to failure in documentation and implementing treatment plans. An audit was car...

2007
Ted Doiron John Beers Eric Stanfield Dennis Everett

The Dimensional Metrology Group, and its predecessors at the National Institute of Standards and Technology (formerly the National Bureau of Standards) have been involved in documenting the science of gauge block calibration almost continuously since the seminal work of Peters and Boyd in 1926 [1]. Unfortunately, most of this documentation has been in the form of reports and other internal docu...

Journal: :Studies in health technology and informatics 2009
Tobias Hartz Hendrik Verst Frank Ückert

KernPaeP is a new web-based on- and offline documentation system, which has been developed for pediatric palliative care-teams supporting patient documentation and communication among health care professionals. It provides a reliable system making fast and secure home care documentation possible. KernPaeP is accessible online by registered users using any web-browser. Home care teams use an off...

Journal: :British Journal of Surgery 2021

Abstract Introduction Transfer to the care oncoming team is point at which inpatients are most vulnerable. Effective handover vital protect patient safety and clinical governance. The Royal College of Surgery (RCS) Safe Handover guidelines highlight relevant information required for comprehensive handover. This QI project aimed determine if implementation weekend stickers in surgical patients’ ...

Journal: :The journal of family planning and reproductive health care 2004
Laraine Murray James T McVicker

Madam We fail to understand why Dr Stephen Searle1 feels that implementing the Faculty’s Service Standards2 should detract from our level of client care. If a service has a clear chaperone policy or protocol then the amount of actual documentation required is minimal. An entry in the case notes ‘chaperone declined’ or ‘chaperone: Nurse Smith’ should suffice to indicate adherence with the policy...

2009
Philipp Schügerl Juergen Rilling Philippe Charland

Over the last decades, software engineering processes have constantly evolved to reflect cultural, social, technological, and organizational changes, which are often a direct result of the Internet. The introduction of the Web 2.0 resulted in further changes creating an interactive, community driven platform. However, these ongoing changes have yet to be reflected in the way we document softwar...

2015
Volker Grimm Gary Polhill

Why Read This Chapter? To learn about the importance of documenting your simulation model and discover a lightweight and appropriate framework to guide you in doing this. Abstract The clear documentation of simulations is important for their communication, replication, and comprehension. It is thus helpful for such documentation to follow minimum standards. The “Overview, Design concepts and De...

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