![]() ![]() This option was not exercised routinely by our hospitalists. The hospitalists could also have the progress note on their personal digital assistant (PDA) and print out to the infrared enabled laser printers found throughout our institution. A supply of preprinted template progress notes was placed at each nursing station and maintained by our support staff. We finally arrived at the hospitalist template progress note.Įach hospitalist was sent a copy of the template via electronic mail that could easily be printed at each nursing station. We also discovered that the hospitalists needed ample room for free writing subjective data as well as the assessment and discussion. We learned that having a 1-page template was important for the group. We solicited input from various members of the group for the design and required information on the template, and we reviewed previous template notes that had been utilized (although these were created for outpatient environments). To do this, we decided to use the hospital’s standard blank progress note and print the template onto the progress note using a word processing document and a laser printer. Therefore, we wanted to have the control of the template without needing hospital approval. We knew that it would require several revisions. The creation of the template progress note had just begun. Furthermore, the findings of one study suggested that it was the facilitation of documentation and ordering of recommended procedures that improved guideline compliance in a small sample of resident physicians (3). We also found that reminders for prevention at the point of care (the progress note in our situation) were important for compliance (2–5). Findings of several studies suggest that strategies focused on the prevention of errors of omission have utility in improving guideline compliance (1,2,3). After some literature review, we found that evidence existed to support our initiative.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |