Medical documentation in emergency department Research Article | ||
| Journal of Research in Curriculum Instruction and Educational Technology | ||
| Article 5, Volume 10, Issue 1, January 2024, Pages 181-192 PDF (681.3 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/jrciet.2024.335218 | ||
| Authors | ||
| Obied Abdulrahman Al Jubail1; Omar Abdullah Al Mutairi2; Badr Awad Sunitan3; Bassam Ayed Al Mutairi4 | ||
| 1Health Administration Specialist | ||
| 2Dental Assistant | ||
| 3Epidemiologist | ||
| 4Nutrition Technician Saudi Ministry of Health, Kingdom of Saudi Arabia | ||
| Abstract | ||
| Abstract: I Improving Emergency Department Documentation for Enhanced Patient Care. Background: Accurate and efficient documentation is crucial in the emergency department (ED) for optimal patient care, communication, and legal protection. However, capturing details promptly can be challenging, particularly during critical scenarios. This research investigates the importance, components, and potential improvements of ED medical documentation. Objectives:Define medical documentation in the ED context.Identify the main components of an ED medical documentation report.Explain the significance of proper documentation in the ED.Explore methods to enhance documentation quality and efficiency.Methods:This descriptive analytical study utilizes questionnaires to gather data from healthcare professionals. Statistical analysis using SPSS will be employed to analyze questionnaire responses.Expected Findings: The research aims to demonstrate:The crucial role of comprehensive and timely ED documentation.The essential components of an effective ED medical record.The potential benefits of implementing strategies like templates, education, dictation, and electronic record optimization for improved documentation quality.Implications:This study aims to contribute to improved ED documentation practices, leading to:Enhanced patient care through accurate information availability and better decision-making.Efficient communication among healthcare professionals.Reduced risk of medical errors and malpractice. Improved healthcare system performance through data analysis and quality assurance. | ||
| Keywords | ||
| Keywords: Emergency department; medical documentation; patient care; quality improvement; healthcare systemThis abstract effectively summarizes the key points of your research:It outlines the research gap and objectives.It briefly describes the methodology and expected findings.It highlights the potential implications of the research.It i | ||
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