Standardized neonatal icu progress note template and feedback system: a clinical documentation improvement initiative

HIGHLIGHTS

  • What: The authors aimed to create a standardized template for daily progress notes in the neonatal ICU by consensus with the help of a dedicated team who conducted regular audit cycles and took regular feedback to improve the template as per the unit`s requirements and, therefore, improve clinical documentation. The authors focused on whether these notes were organized by the patient`s active problems or issues. Before the study, the authors identified potential barriers to achieving the goal as seen in Figure 1.
  • Who: Standardized Neonatal ICU Progress and colleagues from the (UNIVERSITY) have . . .

     

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