F F o 1 c : u I s n e C f h f a e r c t t

Cristine Joy G. Pagayon BSN-3A Group B2

Implementing Focus Charting: process and critique

J J Gryfinski, S S Lampe Clinical nurse specialist CNS

Abstract Documentation is an issue of importance to nursing for many reasons. Quality patient care depends upon complete and accurate information among care givers, third party reimbursement is based on documented care, inefficient documentation systems and behaviors are costly to an institution in terms of salaries, overtime pay and dissatisfied nurses, and documentation is an essential component of institutional licensure and accreditation. The authors describe documentation issues that prompted Christ Hospital of Oak Lawn, Illinois to revise their documentation system, selection of Focus Charting, the educational process for a nursing staff of 1200, and a critique of the educational process. Clinical nurse specialists played a key role in each step of the project.

Cristine Joy G. Pagayon BSN3-A Group B2

Development and implementation of a focus-charting-based nursing information system

Pei-Hung Liao; Way-Run Huang; Yin-Zun Tseng; Wen-Lin Wang; Tsong Hui Lin; HweiLing Chen; You-Shyong Goo; Chi-Chen Sun; Woei-Chyn Chu; Inst. of Biomed. Eng., Nat. Yang-Ming Univ., Taipei This paper appears in: Information Technology and Applications in Biomedicine, 2008. ITAB 2008. International Conference on Issue Date: 30-31 May 2008 On page(s): 545 - 548 Location: Shenzhen Print ISBN: 978-1-4244-2254-8 References Cited: 23 INSPEC Accession Number: 10089777 Digital Object Identifier: 10.1109/ITAB.2008.4570624 Date of Current Version: 18 July 2008 ABSTRACT Aiken etc all, represented in JAMA that nursing staffpsilas exceeded high stress on work overload brought about nearly 20,000 patient deaths every year. According to studies from National Union of Nurses Associations and Taiwan Hospital Reform Foundation (THRF) in 2006, the average number of patients taken care by one per nurse staff is three about one to six times as many as those in other advanced countries. Thus, it can be is predicted that this problem situation likely will degrade the quality of inpatients nursing-care such as prolonged time of hospitalization increasing rate of dead and adverse events. patient care, causing increased length of hospital stay, complications, mortality and preventable adverse incidents. In order to To provide better healthcare service and quality of care to inpatients in hospitals, developing a point-of-care focus mobile nursing information system is to assist nursing staffs during the entire nursing process should be the trend of future development. With the aids of this system, clinical decision support can be promptly suggested and applied by nurses. prompted and so that dramatically decrease the loading of nurse staffs. Systematic input of information may avoid time waste on searching around information and repeats of recording. It further decreases nursepsilas anxiety at work. It is expected that the application and implementation of the system may decrease nursepsilas workload and increase the time for providing direct patient care, thus to promote quality of care, protect patient safety and further more, hopefully help analyzing hospital cost -effectiveness in the future. We hope that this project can help to increase the healthcare quality, improve the inpatients safety, and contribute to further invention control issues in hospital management.