A quality improvement project to standardize chaplain documentation in the electronic medical record.

IF 1.1 Q4 HEALTH POLICY & SERVICES
Journal of Health Care Chaplaincy Pub Date : 2022-04-01 Epub Date: 2020-12-28 DOI:10.1080/08854726.2020.1861534
Nicholas S Stewart, Joanne L S Henley, Leah S Smith, Jonna R Garvin
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引用次数: 1

Abstract

Medical record documentation by hospital chaplains is an under-researched and under-published field. Because documentation serves both as a register of chaplain interventions and as a collaborative tool for interdisciplinary communication, it should be written in a way that is clear, concise, and consistent. As chaplains continue to integrate with other medical professions in interdisciplinary care, careful attention should be given to the way in which communication of the chaplain role, functioning, and patient information obtained is conveyed. This quality improvement project standardized chaplain documentation in one health system of 15 medical centers, provides insights and resources devised from the project, and offers considerations for other systems contemplating future changes toward standardizing documentation.

一个质量改进项目,使电子病历中的牧师文档标准化。
医院牧师的医疗记录文件是一个研究和出版不足的领域。因为文档既是牧师干预的记录,也是跨学科交流的协作工具,所以它应该以一种清晰、简洁和一致的方式编写。随着牧师在跨学科护理中继续与其他医疗专业相结合,应仔细注意牧师角色、功能和获得的患者信息的传达方式。这个质量改进项目在15个医疗中心的一个卫生系统中标准化了牧师文档,提供了从项目中设计的见解和资源,并为其他系统考虑标准化文档的未来变化提供了考虑。
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来源期刊
Journal of Health Care Chaplaincy
Journal of Health Care Chaplaincy HEALTH POLICY & SERVICES-
CiteScore
2.90
自引率
21.10%
发文量
29
期刊介绍: The Journal of Health Care Chaplaincy publishes peer-reviewed, scholarly articles based on original research, quality assurance/improvement studies, descriptions of programs and interventions, program/intervention evaluations, and literature reviews on topics pertinent to pastoral/spiritual care, clinical pastoral education, chaplaincy, and spirituality in relation to physical and mental health.
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