Accreditation

Revamped nursing documentation increases patient care, improves Provision of Care

Briefings on Accreditation and Quality, April 1, 2008

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When Gwinnett Medical Center in Lawrenceville, GA, decided to cut nursing paperwork by 50% to increase nursing time at the bedside as well as accreditation survey results, it was an all-hands-on-deck approach.

“Even though our customer service scores were not down, we looked at clinical indicator surveys,” says Deborah Briese, RN, BSN, CCRN-CMC, who is in charge of Provision of Care chapters for the facility. “What we found was that it was the paperwork that was keeping us from patient care.”

In October 2007, medical-surgical leadership chartered a nursing documentation team to address the issue. Team membership included the director of medical-surgical nursing, a clinical manager, a clinical nurse specialist, a clinician, Briese, and three staff nurses.

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