Inpatient Falls: Improving assessment, documentation, and management

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Inpatient Falls: Improving assessment, documentation, and management

A frequently occurring job during on-call and out-of-hours shifts is reviewing a patient following a fall with this often being the responsibility of the most junior and inexperienced doctors. Following a pilot audit we identified inconsistencies in medical assessment and documentation, with 50% of expected data points not recorded. Failure to complete a thorough assessment can lead to missed i...

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BACKGROUND The Joint Commission standards on pain management address the documentation of assessment and reassessment. Yet, little has been published to describe when and how nurses perform and communicate reassessment of pain. In 2005, the University of Wisconsin Hospital & Clinics (UWHC) was inconsistently reassessing pain after interventions, and documented reassessments were primarily confi...

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Documentation of Allergies on Inpatient Medication Charts.

Sir Medication allergies are common and can result in significant morbidity and mortality, allergic drug reactions have an estimated mortality rate of 0.09 per 1,000 hospital admissions. 1 In Ireland medication allergies accounted for 2% of medication events reported, according to the Irish Medication Safety Network. 2 Therefore documentation of allergies on medication charts is commonplace in ...

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Improving documentation of physical health investigations in an adolescent mental health inpatient unit.

Physical health investigations, such as blood tests, ECGs, and appropriate radiological tests, are essential in the assessment and management of many patients in inpatient mental health settings. This project took place in a 12-bed adolescent mental health unit in Swindon, UK, where on average at least two-thirds of patients have a diagnosed eating disorder. Multidisciplinary ward rounds provid...

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Risk factors for falls during inpatient rehabilitation.

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ژورنال

عنوان ژورنال: BMJ Quality Improvement Reports

سال: 2015

ISSN: 2050-1315

DOI: 10.1136/bmjquality.u208575.w3781