Increasing the Rate of Documentation of Security Interventions in the Emergency Department
| Autor: | Scott Trudgett, Jill Duncan, James A. Hughes, Nathan J. Brown, Caitlin Lock, David Rosengren, Sean Rothwell |
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| Rok vydání: | 2019 |
| Předmět: |
Psychological intervention
Poison control Documentation Audit Suicide prevention Medical Records Security Measures Occupational safety and health 03 medical and health sciences 0302 clinical medicine Risk Factors Surveys and Questionnaires Humans Medicine 030212 general & internal medicine General Nursing Retrospective Studies Problem Behavior Risk Management 030504 nursing business.industry Communication Medical record Emergency department medicine.disease Quality Improvement Workplace Violence Medical emergency Emergency Service Hospital 0305 other medical science business |
| Zdroj: | Journal of Nursing Care Quality. 35:276-281 |
| ISSN: | 1057-3631 |
| DOI: | 10.1097/ncq.0000000000000433 |
| Popis: | Background: Security interventions in aggressive and violent patients in the emergency department (ED) are not always documented in the clinical record, which can compromise the effectiveness of communication, and increase clinical risks. Local Problem: Fewer than half of all security interventions are documented in the clinical record. Methods: The study had a pre-and posttest design including a retrospective audit of patient medical records and a staff survey. Intervention: A dedicated sticker, to be completed by nursing and security staff, was placed into the clinical notes as a record of the security intervention. Results: From 1 month before to 1 month after implementation, the rate of documentation of security interventions in clinical notes increased from 43.3% to 68.8% (P =.01), and was maintained for 3 months after implementation. Conclusions: The rate of documentation of ED security interventions in clinical notes can be increased by encouraging clinicians and security staff to collaborate and share documentation responsibilities. |
| Databáze: | OpenAIRE |
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