Chart Audit of Spiritual Care Documentation: Continuous Quality Improvement

Vivian B Stang1, Mary Jane Beavis1, Geneviève Côté2

  • 1Spiritual Care Practitioner, The Ottawa Hospital, Canada.

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It typically involves three columns for recording information:
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Methods of Documentation V: CBE01:23

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Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
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Flow Sheet01:17

Flow Sheet

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Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
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Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

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Long-Term Care Facilities
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Formats for Nursing Documentation01:28

Formats for Nursing Documentation

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Nursing Assessment Form:
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Methods of Documentation VI: Case Management Model01:15

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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