The Joint Commission journal on quality improvement · 1998
Using a hospitalwide performance improvement process for patient education documentation.
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Sasala D B, Jasovsky D A
Аннотация
BACKGROUND: Decreases in length of hospital stay have increased pressure on staff to provide appropriate patient education. A hospitalwide continuous quality improvement (CQI) program was implemented to improve patient education documentation at Raritan Bay Medical Center (RBMC; Perth Amboy, NJ). IMPROVING THE PATIENT EDUCATION DOCUMENTATION PROCESS: In March 1995 the patient education committee was given the responsibility to develop a CQI program to improve documentation of patient education. Patient interviews revealed that assessment of patients' initial knowledge was inadequate and goal setting was omitted. The committee developed generic and disease-specific patient education documentation forms for educational assessment and patient education. The patient chart was reconfigured to include a central location for patient education.
RESULTS: A review of almost 900 patient records established that the percentage of records on which patient education was documented had improved from 41% in summer 1995 to 93% in fall 1996, with an improvement across all disciplines. A follow-up review in fall 1997 of 136 randomly chosen records indicated a slight decrease in rate of documentation of content areas, although nursing services and nutritional care continued to maintain their patient documentation education at a rate of > or = 90%.
DISCUSSION: Factors such as providing continuous feedback on patient education documentation performance to all nursing units and disciplines involved, developing additional disease-specific education assessment plans/documentation tools through an interdisciplinary process, and improving the data collection tool after each measurement period all contributed to improved patient education documentation.
CONCLUSIONS: Patient education is now truly integrated at RBMC, with every pertinent discipline involved in decision making throughout the process of continuously improving the patient education process and documentation.
RESULTS: A review of almost 900 patient records established that the percentage of records on which patient education was documented had improved from 41% in summer 1995 to 93% in fall 1996, with an improvement across all disciplines. A follow-up review in fall 1997 of 136 randomly chosen records indicated a slight decrease in rate of documentation of content areas, although nursing services and nutritional care continued to maintain their patient documentation education at a rate of > or = 90%.
DISCUSSION: Factors such as providing continuous feedback on patient education documentation performance to all nursing units and disciplines involved, developing additional disease-specific education assessment plans/documentation tools through an interdisciplinary process, and improving the data collection tool after each measurement period all contributed to improved patient education documentation.
CONCLUSIONS: Patient education is now truly integrated at RBMC, with every pertinent discipline involved in decision making throughout the process of continuously improving the patient education process and documentation.