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Journal articles on the topic 'Improving documentation'

Author: Grafiati

Published: 28 May 2022

Last updated: 31 July 2025

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1

Carlson, Kathryn L., Sara E. McFadden, and Shari Barkin. "Improving Documentation Timeliness." Academic Medicine 90, no. 12 (2015): 1641–45. http://dx.doi.org/10.1097/acm.0000000000000792.

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2

McMullen, Laura, and Sue Gale. "IMPROVING NURSING DOCUMENTATION." BMJ Supportive & Palliative Care 4, Suppl 1 (2014): A52.3—A52. http://dx.doi.org/10.1136/bmjspcare-2014-000654.148.

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3

Popescu, Mara, Jasmine Yap, Aidan Ng, and Katy Nicholson. "Improving anaesthetic chart documentation." Clinical Medicine 22, Suppl 4 (2022): 66–67. http://dx.doi.org/10.7861/clinmed.22-4-s66.

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4

Quigley, Pat, Alberta Mathis, and Virginia Nodhturft. "Improving clinical documentation quality." Journal of Nursing Care Quality 8, no. 4 (1994): 66–73. http://dx.doi.org/10.1097/00001786-199407000-00011.

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5

Evans, Rhonda, and Pam Kunert. "Improving Donor Education Documentation." Biology of Blood and Marrow Transplantation 24, no. 3 (2018): S491—S492. http://dx.doi.org/10.1016/j.bbmt.2017.12.549.

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6

Hicks, Tamara A., and Caroline A. Gentleman. "Improving Physician Documentation Through a Clinical Documentation Management Program." Nursing Administration Quarterly 27, no. 4 (2003): 285–89. http://dx.doi.org/10.1097/00006216-200310000-00005.

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7

Smith, Matthew, and Natalie Elkheir. "Improving non-invasive ventilation documentation." BMJ Quality Improvement Reports 3, no. 1 (2014): u203278.w1486. http://dx.doi.org/10.1136/bmjquality.u203278.w1486.

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8

Harrahill, Maureen. "Strategies for improving trauma documentation." Journal of Emergency Nursing 23, no. 2 (1997): 187–88. http://dx.doi.org/10.1016/s0099-1767(97)90117-3.

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9

FUNK, KRISTINE L., and CELESTE M. AYTON. "Improving Malnutrition Documentation Enhances Reimbursement." Journal of the American Dietetic Association 95, no. 4 (1995): 468–75. http://dx.doi.org/10.1016/s0002-8223(95)00123-9.

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10

Russo, Ruthann, Stephen P. Fitzgerald, JD Eveland, Barry D. Fuchs, and D. Patrick Redmon. "Improving physician clinical documentation quality." Health Care Management Review 38, no. 1 (2013): 29–39. http://dx.doi.org/10.1097/hmr.0b013e31824c4c61.

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11

Schmidt, Melissa, Jennifer Johnson, Linda Kitchen, Dawn Jackson, and LaVonne Albertson. "Improving Documentation in the PACU." Journal of PeriAnesthesia Nursing 27, no. 3 (2012): e6. http://dx.doi.org/10.1016/j.jopan.2012.04.045.

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12

Lassila-Perini, Kati, and Leena Salmi. "Improving collaborative documentation in CMS." Journal of Physics: Conference Series 219, no. 8 (2010): 082011. http://dx.doi.org/10.1088/1742-6596/219/8/082011.

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13

Brown, M. "Improving Malnutrition Diagnosis and Documentation." Journal of the Academy of Nutrition and Dietetics 123, no. 9 (2023): A15. http://dx.doi.org/10.1016/j.jand.2023.06.037.

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14

Nuthalapati, Poojith, Lionel Thomas, Maria A. Donahue, et al. "Improving Seizure Frequency Documentation and Classification." Neurology: Clinical Practice 13, no. 6 (2023): e200212. http://dx.doi.org/10.1212/cpj.0000000000200212.

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Background and ObjectivesAccurate and reliable seizure data are essential for evaluating treatment strategies and tracking the quality of care in epilepsy clinics. This quality improvement project aimed to increase seizure documentation (i.e., documentation of seizure frequency from 80% to 100%, date of last seizure from 35% to 50%, and International League Against Epilepsy (ILAE) seizure classification from 35% to at least 50%) over 6 months.MethodsWe surveyed 7 epileptologists to determine their perceived seizure frequency, ILAE classification, and date of last seizure documentation habits.

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15

di Martino, Paolo, Francesco Leoli, Francesco Cinotti, et al. "Improving Vital Sign Documentation at Triage." Journal of Patient Safety 7, no. 1 (2011): 26–29. http://dx.doi.org/10.1097/pts.0b013e31820c9895.

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16

Boswell, Carol, and Michael Hall. "Improving pain management through better documentation." Nursing Made Incredibly Easy! 17, no. 6 (2019): 9–12. http://dx.doi.org/10.1097/01.nme.0000585100.09505.34.

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17

NORTH, SUSAN D., and PATRICIA C. SERKES. "Improving Documentation of Initial Nursing Assessment." Nursing Management (Springhouse) 27, no. 4 (1996): 30???33. http://dx.doi.org/10.1097/00006247-199604000-00008.

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18

Björvell, Catrin, Regina Wredling, and Ingrid Thorell-Ekstrand. "Improving documentation using a nursing model." Journal of Advanced Nursing 43, no. 4 (2003): 402–10. http://dx.doi.org/10.1046/j.1365-2648.2003.02751.x.

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19

Kotb, Yasser, and Takuya Katayama. "Improving software documentation using textual entailment." ACM SIGSOFT Software Engineering Notes 31, no. 6 (2006): 1–2. http://dx.doi.org/10.1145/1218776.1218796.

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20

Melendez, Andrea, and Deborah Cowell. "IMPROVING ELECTRONIC DOCUMENTATION IN WOUND MANAGEMENT." Journal of Wound, Ostomy and Continence Nursing 35, Supplement (2008): S56—S57. http://dx.doi.org/10.1097/01.won.0000319416.35471.bf.

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21

Fuller, Tina, Becky Fox, Donna Lake, and Karen Crawford. "Improving real-time vital signs documentation." Nursing Management (Springhouse) 49, no. 1 (2018): 28–33. http://dx.doi.org/10.1097/01.numa.0000527716.05512.4e.

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22

Matuschka, Paul. "Improving documentation of preoperative antimicrobial prophylaxis." American Journal of Health-System Pharmacy 55, no. 10 (1998): 993–94. http://dx.doi.org/10.1093/ajhp/55.10.993.

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23

Nutescu, Edith, Charmaine Hunt, and Janet Teeters. "Multidisciplinary approach to improving allergy documentation." American Journal of Health-System Pharmacy 55, no. 4 (1998): 364–68. http://dx.doi.org/10.1093/ajhp/55.4.364.

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24

Parwaiz, Hammad, Rushan Perera, John Creamer, Hamish Macdonald, and Ian Hunter. "Improving documentation in surgical operation notes." British Journal of Hospital Medicine 78, no. 2 (2017): 104–7. http://dx.doi.org/10.12968/hmed.2017.78.2.104.

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25

Chaparro, Juan D., Brian Denney, Robert El-Kareh, Cynthia L. Kuelbs, and Kyung E. Rhee. "Improving Obesity Documentation in Pediatric Populations." Pediatrics 141, no. 1_MeetingAbstract (2018): 13. http://dx.doi.org/10.1542/peds.141.1ma1.13.

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26

Connolly, L., A. Kansal, P. Akin-Nibosun, and K. Kamaraj. "P16 Improving documentation in obstetric anaesthesia." International Journal of Obstetric Anesthesia 54 (May 2023): 103678. http://dx.doi.org/10.1016/j.ijoa.2023.103678.

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27

Koshy, AbyKottal. "Improving fertility treatment documentation – A survey." Journal of Human Reproductive Sciences 16, no. 2 (2023): 121. http://dx.doi.org/10.4103/jhrs.jhrs_34_23.

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28

Herrera, Daniela. "Improving Nursing Pain Score Reassessment Documentation." Pain Management Nursing 25, no. 2 (2024): e154. http://dx.doi.org/10.1016/j.pmn.2024.02.022.

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29

Talmi, A., M. Bunik, R. Asherin, et al. "Improving Developmental Screening Documentation and Referral Completion." PEDIATRICS 134, no. 4 (2014): e1181-e1188. http://dx.doi.org/10.1542/peds.2012-1151.

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30

Lacro, Jonathan P., Daniel D. Sewell, Kathleen Warren, Sheri Woody, M. Jackuelyn Harris, and Dilip V. Jeste. "Improving Documentation of Consent for Neuroleptic Therapy." Psychiatric Services 45, no. 2 (1994): 176–78. http://dx.doi.org/10.1176/ps.45.2.176.

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31

Ramírez Polo, Laura. "Controlled languages and technical documentation: Improving translatability." Tradumàtica: tecnologies de la traducció, no. 10 (February 5, 2013): 192. http://dx.doi.org/10.5565/rev/tradumatica.25.

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32

DeLeon, Stephanie, Brent Mothner, and Amy Middleman. "Improving student documentation using a feedback tool." Clinical Teacher 15, no. 1 (2017): 48–51. http://dx.doi.org/10.1111/tct.12625.

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33

Winckworth, L. C., and S. Hines. "Improving documentation in the intensive care environment." Archives of Disease in Childhood 101, no. 8 (2016): 778.1–778. http://dx.doi.org/10.1136/archdischild-2016-310731.

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34

Swaminath, Deephak, Jennifer Hefner, Leigh Ann Jenkins, Jose A. Suarez, Gary Meyerrose, and Timothy R. Huerta. "Improving Clinical Documentation in an Academic Setting." Journal of Healthcare Management 63, no. 5 (2018): e88-e98. http://dx.doi.org/10.1097/jhm-d-12-00029.

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35

Nelson, Eleanor, and Patrick Reynolds. "Inpatient Falls: Improving assessment, documentation, and management." BMJ Quality Improvement Reports 4, no. 1 (2015): u208575.w3781. http://dx.doi.org/10.1136/bmjquality.u208575.w3781.

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36

Hayter, Karen L., and Ana M. Schaper. "Improving pain documentation with peer chart review." Nursing 45, no. 7 (2015): 58–63. http://dx.doi.org/10.1097/01.nurse.0000463673.52336.80.

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37

Gordon, Debra B., Susan M. Rees, Maureen P. McCausland, et al. "Improving Reassessment and Documentation of Pain Management." Joint Commission Journal on Quality and Patient Safety 34, no. 9 (2008): 509–17. http://dx.doi.org/10.1016/s1553-7250(08)34065-3.

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38

Townsend, Christine, and Nancy Skinner. "When Counts Count: Improving Practice and Documentation." Journal of Obstetric, Gynecologic & Neonatal Nursing 39 (September 2010): S82. http://dx.doi.org/10.1111/j.1552-6909.2010.01121_47.x.

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39

Martin, Carol Ann. "Improving the Quality of Medical Record Documentation." Journal For Healthcare Quality 14, no. 3 (1992): 16–23. http://dx.doi.org/10.1111/j.1945-1474.1992.tb00032.x.

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40

OʼConnor, Tammy L., E. Andrew Raposo, and Teri Heller-Wescott. "Improving Trauma Documentation in the Emergency Department." Journal of Trauma Nursing 21, no. 5 (2014): 238–43. http://dx.doi.org/10.1097/jtn.0000000000000071.

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41

Molada-Tebar, Adolfo, José Luis Lerma, and Ángel Marqués-Mateu. "Camera characterization for improving color archaeological documentation." Color Research & Application 43, no. 1 (2017): 47–57. http://dx.doi.org/10.1002/col.22152.

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42

Vepraskas, Sarah, Snezana Nena Osorio, Alyssa M. Stephany, and Sandra Gage. "Improving Documentation of Post-Discharge Issue Mitigation." Pediatrics 147, no. 3_MeetingAbstract (2021): 130–31. http://dx.doi.org/10.1542/peds.147.3ma2.130.

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43

Velazquez Manana, Ana I., Rahul Banerjee, Vanessa Elaine Kennedy, August Reich Dietrich, Amy M. Lin, and Pelin Cinar. "Improving performance status documentation by hematology-oncology fellows." Journal of Clinical Oncology 38, no. 29_suppl (2020): 250. http://dx.doi.org/10.1200/jco.2020.38.29_suppl.250.

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250 Background: Accurate performance status (PS) documentation is essential as poor PS is a strong predictor of treatment-related toxicity. At our institution, a baseline chart review revealed missing PS documentation in 28% of Fellow-seen new patient visits (NPV); PS documentation as unstructured text comprised the remainder. The lack of structured PS documentation represents a missed opportunity for accurate data in registries, trial registration, and supportive care referrals. Methods: To improve standardized documentation of PS for NPV, we designed a Fellow-led quality improvement (QI) ini

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44

Ismail, Ziver F., Tevfik F. Ismail, and Alan J. Wilson. "Improving safety for patients with allergies: an intervention for improving allergy documentation." Clinical Governance: An International Journal 13, no. 2 (2008): 86–94. http://dx.doi.org/10.1108/14777270810867285.

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45

Banker, Sumeet L., Divya Lakhaney, Benjamin S. Hooe, Teresa A. McCann, Connie Kostacos, and Mariellen Lane. "A Quality Improvement Approach to Improving Discharge Documentation." Pediatric Quality & Safety 7, no. 1 (2022): e428. http://dx.doi.org/10.1097/pq9.0000000000000428.

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46

Wendelberger-Marcdante, Karen J., and Judy Gamalski. "Improving Documentation: Impact of a Utilization Review Specialist." Pediatric Research 45, no. 4, Part 2 of 2 (1999): 79A. http://dx.doi.org/10.1203/00006450-199904020-00472.

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47

TEO, S., R. HANSON, P. ASPEREN, et al. "Improving asthma documentation in a paediatric emergency department." Journal of Paediatrics and Child Health 31, no. 2 (1995): 130–33. http://dx.doi.org/10.1111/j.1440-1754.1995.tb00761.x.

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48

Hutton, Joe, and Selina Graham. "Chest drain care bundle: Improving documentation and safety." BMJ Quality Improvement Reports 4, no. 1 (2015): u204172.w3891. http://dx.doi.org/10.1136/bmjquality.u204172.w3891.

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49

Mahapatra, Piyush, and edmund ieong. "Improving Documentation and Communication Using Operative Note Proformas." BMJ Quality Improvement Reports 5, no. 1 (2016): u209122.w3712. http://dx.doi.org/10.1136/bmjquality.u209122.w3712.

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50

Akhigbe, Taiwo, and Mohammad Sattar. "No Notes, No Defense: Improving Documentation in Neurosurgery." World Neurosurgery 81, no. 2 (2014): 223–25. http://dx.doi.org/10.1016/j.wneu.2013.08.016.

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