Nurse Documentation Burden for Patients Undergoing Hip and Knee Arthroplasty: A Quality Improvement Project
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Publisher:The Ohio State University
Series/Report no.:The Ohio State University. College of Nursing Doctor of Nursing Practice Final Document Projects
Healthcare has transitioned from volume-based to value-based care, leading healthcare organizations to develop strategies to improve quality metrics while decreasing overall costs. The shift from inpatient to outpatient total joint arthroplasty has forced hospitals to change the care delivery trajectory for this patient population. Healthcare providers are seeing an increase in time spent on documentation that may decrease time spent on direct patient care, and potentially negatively impact nurse documentation burden. Documentation burden for the purpose of this project is defined as the documentation complexity leading to increased time spent on charting. The purpose of this DNP project is to compare perceived nurse burden related to two types of nursing documentation – outpatient and inpatient. The overall goal is to minimize the perceived nurse documentation burden through the implementation and evaluation of a quality improvement project using outpatient charting capabilities on an inpatient Orthopedic/General Surgery unit.
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