Charting intervention improves geriatric assessment notes

January 9, 2018

(HealthDay)—A quality improvement intervention can improve documentation of geriatric assessments during transitions of care, according to a study published online Dec. 18 in the Journal of the American Geriatrics Society.

Ben A. Blomberg, M.D., from the University of North Carolina at Chapel Hill, and colleagues assessed a continuous quality improvement intervention aimed at improving assessment and documentation of , cognition, and (ACP) in admission and discharge notes on an Acute Care of the Elderly unit at an academic tertiary hospital. The intervention involved the introduction of templated notes, staff education, leadership outreach, and posted reminders.

The researchers found that at baseline, no admission and discharge notes met minimum documentation criteria for the three domains of function, cognition, and ACP, with documentation of function and cognition completely absent. After the intervention, however, there was substantial improvement in all measures, with 64 percent of admission notes and 94 percent of discharge notes meeting at least minimum documentation criteria in all three domains.

"A quality improvement using geriatric-specific note templates, house staff training, and reminders increased documentation of function, cognition, and ACP for post-acute care," the authors write.

Explore further: Oral care guidelines can improve quality of oral health care

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Oral care guidelines can improve quality of oral health care

December 20, 2017
(HealthDay)—Development and implementation of standardized oral care treatment and referral guidelines can improve the overall quality of oral health practice for older sub-acute patients, according to a study published ...

Scribes improve dermatologist satisfaction, cut chart burden

November 4, 2017
(HealthDay)—Scribes can reduce time spent on documentation and improve dermatologist satisfaction, according to a research letter published online Nov. 1 in JAMA Dermatology.

Doctors who dictate their notes have worse quality of care than those who use other documentation methods: study

May 21, 2012
Could the quality of care you receive be affected by how your doctor takes notes? According to a new study by researchers at Brigham and Women's Hospital (BWH), doctors who dictated their patient notes appeared to have worse ...

Scripted callbacks do not prevent 30-day returns of ER discharges

January 4, 2018
(HealthDay)—For older adults discharged to home from the emergency department, telephone follow-up does not improve outcomes, according to a study published online Dec. 22 in the Journal of the American Geriatrics Society.

Quality issues for both paper-, electronic-based health records

October 13, 2017
(HealthDay)—Both paper-based and electronic health records (EHRs) have shortcomings in terms of quality of content, process, and structure, with poor quality of nursing documentation seen for both methods, according to ...

Staff training intervention doesn't impact fall prevention

October 3, 2017
(HealthDay)—An intervention targeting gaps in staff communication and coordination (complexity science-based staff training intervention [CONNECT]) does not improve the impact of an evidence-based falls quality improvement ...

Recommended for you

Early studies of male birth-control pill show promise

March 23, 2018
Well, well, well. The ball has been knocked roundly into your court, gentlemen.

Whether sustained or sporadic, exercise offers same reductions in death risk

March 22, 2018
For decades, Americans have been inundated with a confusing barrage of messages about how best to counteract the health risks of sedentary lifestyles: walk 10,000 steps a day; do a seven-minute workout from a phone app; flip ...

Tai chi as good as or better than aerobic exercise for managing chronic pain

March 21, 2018
The ancient martial art of tai chi has similar or greater benefits than aerobic exercise for people with the chronic pain condition fibromyalgia, finds a trial published by The BMJ today.

Study: Poor health is a less common cause of bankruptcy than commonly thought, but it brings other economic woes

March 21, 2018
A team of researchers led by an MIT economist has found that medical expenses account for roughly 4 percent of bankruptcy filings among nonelderly adults in the U.S.

Study finds bad sleep habits start early in school-age children

March 21, 2018
Bad sleep habits in children begin earlier than many experts assume. That's the takeaway from a new study led by McGill University researchers. The findings suggest that official sleep guidelines for young school children ...

Medical expansion has improved health—with one exception

March 21, 2018
While Americans debate the rising cost of health care, a new study of 30 countries over 27 years found that medical expansion has improved overall health - with one major exception.


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.