Category list : Record keeping
Stories with this category.
A patient may want to keep certain aspects of their lives secret from relatives, and health professionals need to respect their wish. This requires good communication between staff. An anonymous testimony reveals this does not always happen
Northern Lincolnshire and Goole NHS Foundation Trust has been put back into “special measures” after inspectors raised serious concerns about quality, safety and ongoing staffing issues.
Patient care information is often being recorded by nurses in an “inaccurate, inconsistent, repetitive and incomplete” way, leading to potential safety concerns, according to researchers.
Views on and perceptions of a paperless NHSSubscription
Health professionals in a hospital that implemented use of electronic health records in 2010 were asked about their views on moving towards a paperless NHS
Critical findings in an NHS England-commissioned report into deaths among patients of Southern Health NHS Foundation Trust have been leaked, and strongly contested by the organisation and an academic.
Since nurses have a duty to keep clear and accurate records, they need to know how to measure and document wounds in order to track their progress to healing
'Work away from the bedside matters too'Subscription
There has been much discussion and indeed criticism of how much time nurses waste in form filling and with time-consuming documentation. Undoubtedly some of this time is unnecessary and some of the forms are just filed in a big black hole.
A nurse has been convicted of manslaughter by gross negligence of a child at Leicester Royal Infirmary.
How real-time data can improve patient careSubscription
Real-time data can allow earlier identification of patients with deteriorating health, free up nurses’ time and help hospitals to better plan staff and resource deployment
Applying speech-to-text systems in documentationSubscription
Implementing speech-to-text systems for nursing documentation requires a cultural change in the way nurses view record keeping