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¶ … Audits
In the field of nursing, both qualitative and quantitative data are useful and needed. The qualitative approach comes much from the patient and/or stakeholders. How does the patient "feel," what are some not quantittiative things one notices. Often, though, in charting a patient, a medical professional is able to quantify some of the qualitative data (e.g. complexion pale or wan; skin temperature, palor, attention span, etc.). The quantitative data are data that can be easily measured and work in tandem to provide a way to make a cogent diagnosis for the patient. Qualitative data is also part of the nurse's ability to make judgments about the quality and morality of situations, indeed, taking the principles of nursing ethics (beneficence, autonomy, etc.), many of those decision types are qualitative based. Some of this is, of course, related to secondary data sets from other research studies outside the purvue of patient-care, and aligns with a nurse's ability to improve their technique and understand research from other areas.Medical...
The maintenance of complete and accurate medical records on an ongoing basis is central to modern health care and is typically part of the requirements of licensing and certification (Information, 2011).
Chart Audits - Because charting information is so vital, both for patient health and appropriate, proper medical care, it is essential to have a procedure in place for charting audits. In a given week, a practice might see hundreds of patients, and no one can remember complex test results and data for that many people on a regular basis. Chart audits are a way to examin medical records (electronic or hard copy) to determine what the current procedure is and find ways of improving. There are four main purposes of the chart audit:
Required Measurments -- Within the modern mangaged care environment, the HEDIS (Health Plan Employer Data and Information Set) is widely…
REFERENCES
Information on Charting. (2011). AHIMA. Retrieved from: http://www.ahima.org/
The How's and Why's of Chart Audits. (2005). Duke University Medical Center. Retrieved from: http://patientsafetyed.duhs.duke.edu/module_b/chart_audit.html
Medical Chart Audits. (2011). AAPC Physician Services. Retrieved from:
http://www.aapcps.com/services/audit-services.aspx?gclid=CKWTkpL3p6sCFRRSgwodkF4E4w
Nursing Comm Communication in a Collaborative Healthcare Context Providing leadership in a healthcare context requires one skilled both as a manager and as a collaborator. The modern healthcare context is a highly collaborative environment in which medical professionals must work hand in hand with specialists, nurses, physicians, family members, physical therapists, mental health professional, administrators and the patients themselves in order to derive treatment of the highest quality. The discussion hereafter considers
Finally, if the nurse and others concede that her ideas regarding policy change are successful and needed in the medical profession and that other medical professions would benefit from the implementation of these changes to their activities and systems, the nurse can then proceed to implementation of her plan. This she can do by communication with legislators by e-mail, phone, or letter (or in person, if she wishes); by attending
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ethics provided key inspiration for others looking to apply a more practical application of the ethics within a 21st century organization. The article essentially attempted to redefine ethics and the role ethics play, or should play, within the context of organizational leadership. This pedagogical approach to ethical inclusion within leadership style is highlighted throughout this article and new models, approaches and philosophies are introduced to help guide the reader
Nursing Staff at the Coronary Care Unit Division Competence refers to a set of demonstrated abilities, skills, attitudes, knowledge, and values underlying effectual, safe, and top-quality performance in any occupation/profession. Ongoing competence refers to midwives' and nurses' ability to demonstrate that they have sustained competence within their present field of practice. Midwives and nurses are only capable of doing this if they have access to an environment that facilitates efficient, effective,
The questions on legal liability issues were minimal as the field of legal issues is new in nursing. The questions addressed a theoretical part regarding the legal liability issues. They were no need of clarification since the questionnaires were easy and self -- administrative. Although the researcher was there for assistance but telephonically. 1.7. Data analysis In this chapter, the analysis is discussed in detail. Data was collected by means of