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Quality of Electronic Nursing Records

The Impact of Educational Interventions During a Hospital Accreditation Process

CIN: Computers, Informatics, Nursing: March 2018 - Volume 36 - Issue 3 - p 160
doi: 10.1097/01.NCN.0000527996.33368.a6


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Registration Deadline: March 31, 2020

Disclosure Statement:

The authors and planners have disclosed that they have no financial relationships related to this article.

Provider Accreditation:

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Lippincott Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.0 contact hour. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida, CE Broker #50-1223.


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GENERAL PURPOSE STATEMENT: To present a study determining the impact of educational interventions on the quality of nursing records.

LEARNING OBJECTIVES/OUTCOMES: After completing this educational activity, you should be able to:

1. Outline the Joint Commission International (JCI) hospital accreditation standards.

2. Identify the methods used to evaluate the impact of educational interventions on the quality of electronic health records (EHRs).

3. Recall the study results and implication for improving nursing records and nursing practice.

  1. The accreditation process based on JCI standards is recognized as a strategy for the pursuit of excellence in quality of care and
    1. community involvement.
    2. patient satisfaction.
    3. patient and professional safety.
  2. The Quality of Nursing Diagnoses, Interventions and Outcomes (Q-DIO–Brazilian Version) is an internationally validated instrument used to
    1. evaluate nursing records.
    2. educate nurses.
    3. quantify patient outcomes.
  3. Within the JCI evaluation for hospital accreditation standards, how many of the 14 items relate directly to nursing records?
    1. 5
    2. 10
    3. 14
  4. The JCI Specific Quality Criteria (JCI-SQC) instrument that was built for this study contained all of the following items except
    1. infection control.
    2. medication reconciliation.
    3. palliative care evaluation.
  5. Interrater agreement in filling the newly developed instrument was estimated through
    1. a pilot study.
    2. user feedback.
    3. a literature review.
  6. Comparison between JCI-SQC items preintervention and postintervention showed significant differences in what total percentage of variables?
    1. 25%
    2. 50%
    3. 75%
  7. The JCI standard recommends documentation of nursing assessment within how long after admission?
    1. 8 hours
    2. 12 hours
    3. 24 hours
  8. Which of the following items showed significant improvement between the preintervention and postintervention periods?
    1. evaluation in palliative care
    2. daily rate of nursing notes
    3. standard acronyms
  9. Educational interventions regarding the risk for falls and fall prevention included
    1. implementation of bed alarms.
    2. incentives and recognitions.
    3. clinical case studies and active surveillance.
  10. What measure was implemented in 2013 to better support communication and to meet JCI standards?
    1. standardization of an acronym list
    2. prohibition of the use of acronyms
    3. addition of a documentation module to nursing orientation
  11. The frequency of daily nursing orders showed
    1. lower compliance rates than previous studies.
    2. satisfactory compliance in 2009 and 2013.
    3. a significant increase in compliance.
  12. A limitation of the study as identified by the authors was that the educational activities
    1. were limited to nursing staff on the day shift.
    2. could not be shown as the cause of improvements.
    3. were offered only in the institution's primary language.
  13. Results of this study support the importance of
    1. standardizing EHR requirements across systems.
    2. measuring outcomes through improved documentation.
    3. nursing continuing education for improving the EHR system.
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