Relationship Between Nursing Documentation and Patients' Mortality | Zendy

Sarah Collins | Zendy; Kenrick Cato | Zendy; David J. Albers | Zendy; Ken Scott | Zendy; Peter D. Stetson | Zendy; Suzanne Bakken | Zendy; David K. Vawdrey | Zendy

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Relationship Between Nursing Documentation and Patients' Mortality

Author(s) -

Sarah Collins,

Kenrick Cato,

David J. Albers,

Ken Scott,

Peter D. Stetson,

Suzanne Bakken,

David K. Vawdrey

Publication year - 2013

Publication title -

american journal of critical care

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.592

H-Index - 81

eISSN - 1937-710X

pISSN - 1062-3264

DOI - 10.4037/ajcc2013426

Subject(s) - medicine , documentation , medical record , vital signs , emergency medicine , nursing documentation , electronic health record , health records , comorbidity , medline , mortality rate , medical emergency , health care , nursing care , nursing , surgery , computer science , political science , law , economics , programming language , economic growth

Nurses alter their monitoring behavior as a patient's clinical condition deteriorates, often detecting and documenting subtle changes before physiological trends are apparent. It was hypothesized that a nurse's behavior of recording optional documentation (beyond what is required) reflects concern about a patient's status and that mining data from patients' electronic health records for the presence of these features could help predict patients' mortality.

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