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Shared record keeping in the multidisciplinary team

J Baker

    Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
    |March 20, 1996
    PubMed
    Summary
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    Implementing multidisciplinary patient records and a shared bedside document system significantly improved healthcare discharge planning and team communication. This initiative streamlined record-keeping processes, enhancing overall patient care coordination.

    Area of Science:

    • Healthcare Management
    • Clinical Informatics
    • Patient Care Coordination

    Background:

    • Current discharge planning procedures often face challenges with fragmented patient records.
    • Inefficient record-keeping systems can hinder effective multidisciplinary team communication.
    • Optimizing patient care transitions requires robust and accessible documentation.

    Purpose of the Study:

    • To evaluate the impact of introducing multidisciplinary patient records and a joint care approach on discharge planning.
    • To assess changes in record-keeping systems and team communication within a healthcare setting.
    • To identify benefits and challenges of a shared bedside documentation system.

    Main Methods:

    • A one-year project involving information collection on existing record-keeping systems.

    Related Experiment Videos

  • Introduction of a comprehensive, shared package of documents kept at the patient's bedside.
  • Evaluation of the implemented system's impact on record keeping, communication, and discharge planning.

    • Main Results:

    • Dramatic overall improvements observed in record-keeping processes.
    • Positive impacts noted in interdisciplinary team communication.
    • Enhanced effectiveness in discharge planning procedures, despite some document duplication.
    • Shared bedside documentation facilitated better access to patient information.

    Conclusions:

    • Multidisciplinary patient records and shared bedside documentation are effective in improving discharge planning.
    • The joint approach to patient care enhances team communication and care coordination.
    • Further refinement may be needed to eliminate all document duplication for optimal efficiency.