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Development and evaluation of an electronic nursing documentation system.

Mohsen ShafieeMostafa ShanbehzadehZeinab NassariHadi Kazemi-Arpanahi
Published in: BMC nursing (2022)
The developed system is suitable for the documentation of patient care in nursing care plans within a legal, ethical, and professional framework. However, nurses need further training in documenting patient care according to the nursing process, and in using the standard reporting templates to increase patient safety and improve documentation.
Keyphrases
  • patient safety
  • quality improvement
  • electronic health record
  • advance care planning
  • mental health
  • healthcare
  • adverse drug
  • emergency department
  • decision making