How extra nursing notes point to deterioration

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Abstract

Collins S (2014) How extra nursing notes point to deterioration. Nursing Times; 110: 22: 19-20. Optional nursing documentation in electronic health records may serve as a marker of a nurse's concern and could be predictive of a patient's risk of a poor outcome. A US study has found a statistically significant association between nurses recording more optional comments and vital signs, and patient death and cardiac arrest. Nurses should be aware of increased documentation as a possible predictor of patient deterioration.

When nurses make “optional” notes in a patient's records, this may indicate that the patient is in danger of deterioration or even death

In this article…

> Definition of “optional” nursing entries in health records

In this article…

> Associations between optional entries and patient deaths

In this article…

> Using such notes to help identify risk of deterioration

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