Baker J
Nurs Stand. 1996 Mar 20;10(26):39-41. doi: 10.7748/ns.10.26.39.s48.
This article describes an attempt to improve discharge planning procedures by introducing multidisciplinary patient records and a joint approach to patient care. The one-year project involved collecting information about the record keeping system in use, before introducing a comprehensive shared package of documents kept at the patient's bedside. Evaluation showed dramatic overall changes in record keeping, although some duplication of documents still occurred. Positive benefits were also noted in team communication and discharge planning.
本文介绍了一项通过引入多学科患者记录和联合患者护理方法来改进出院计划程序的尝试。这个为期一年的项目包括在引入一套保存在患者床边的综合共享文件包之前,收集有关现行记录保存系统的信息。评估显示记录保存方面总体发生了显著变化,尽管仍有一些文件重复的情况。在团队沟通和出院计划方面也发现了积极的益处。