Keywords

DOCUMENTATION, PERFORMANCE IMPROVEMENT, INTERDISCIPLINARY

 

Authors

  1. Davidson, Nancy MSN, RN
  2. Egbert, Kim MSN, RN
  3. Merchant, Mary MSN, RN
  4. Padgette, Donna MSN, RN
  5. Rankine, Karen MN, RN

Abstract

An Interdisciplinary Documentation Performance Improvement Task Force was created to evaluate and revise the documentation system at an academic medical center. The primary goal of the documentation project was to establish a standardized documentation system that reflected interdisciplinary planning of care for all of the organization's inpatient populations. This article identifies the process used to revise and implement an interdisciplinary documentation system. Project implementation and outcomes as well as recommendations and future initiatives are included.