PubMed · 7327301
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K L Bunn. 1981. Forms grouping.. https://pubmed.ncbi.nlm.nih.gov/7327301/
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A new documentation system changed not only the pieces of paper people write on, but also the way they deliver patient care. The patient record integrated all disciplines' care plans, assessments, flow sheets and Kardex into one document.
A brief pilot study has shown how efficient and effective an integrated one-page documentation tool can be in utilizing admissions data to facilitate discharge planning. This manual form makes immediate interdisciplinary documentation possible.
A continuous quality improvement (CQI) project focused on documentation within the Newborn Intensive Care Unit (NICU) at Primary Children's Medical Center. The task force developed and implemented an interdisciplinary patient care documentation system that reduces duplication, increases compliance, improves communication and is fiscally responsible.