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Improvement in Documentation of Intake and Output Chart

This study examined documentation of intake and output (I/O) charts in hospitals. The existing I/O chart format was found to be incomplete, illegible, and not user-friendly. A new I/O chart format was trialled which included shift totals and clearer instructions. Pre-implementation audits found only 63% of existing charts were fully completed. Post-implementation audits of the new format found a significant improvement to 88% completeness. Healthcare workers surveyed preferred the new format and it is recommended the new format be fully implemented to further improve I/O chart documentation.

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632 views

Improvement in Documentation of Intake and Output Chart

This study examined documentation of intake and output (I/O) charts in hospitals. The existing I/O chart format was found to be incomplete, illegible, and not user-friendly. A new I/O chart format was trialled which included shift totals and clearer instructions. Pre-implementation audits found only 63% of existing charts were fully completed. Post-implementation audits of the new format found a significant improvement to 88% completeness. Healthcare workers surveyed preferred the new format and it is recommended the new format be fully implemented to further improve I/O chart documentation.

Uploaded by

anurajone
Copyright
© Attribution Non-Commercial (BY-NC)
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Download as DOCX, PDF, TXT or read online on Scribd
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Improvement in documentation of intake and output chart

Ling .W.W, (2011) Improvement in documentation of intake and output chart. International Journal of Public Health Research, special issue . pp. 152-162. ISSN 2232-0245, university of kebangsaan, malaysia Intake and Output (I/O) records in hospitals were often found to be incomplete and illegible. The form used to record I/O is not user-friendly i.e., they feature miniscule boxes, total lines that do not correspond with shift changes and lack of instructions. Complaints often received from Specialists & Doctors regarding calculation errors or no totalling of I/O. Moreover, Nursing Sisters objective rounds often saw incompleteness of I/O chart. This study aims to identify the types of mistakes in recording the existing I/O chart. The second aim is to find out whether shift totalling of I/O chart helps in reducing mistakes. We try to determine whether the identified mistakes were repeated in the new I/O Chart. This study was conducted from October till December 2010 in 9 selected wards in Sibu Hospital. Data collection was divided into 3 phases. A pre-implementation audit using a checklist was carried out. The compliance rate of completeness of documentation of I/O Chart was 63%. A one month trial of new I/O chart was being done in the selected 9 wards. Post implementation audit showed a significant improvement of compliance rate (88%). Feedback from health care workers (N=110) showed that, 89% of doctors (n=17) and 60% of nurses (n=93) in the sample prefer to use the new format as more practical and relevant to the changing shift of nurses and doctors ward round. It is suggested to implement the new format to increase compliance rate of documentation of I/O charting. Briefing should be given to nurses periodically and the new format should be introduced to nursing students in nursing colleges. Intake and Output (I/O) records in hospitals were often found to be incomplete and illegible. The form used to record I/O is not user-friendly i.e., they feature miniscule boxes, total lines that do not correspond with shift changes and lack of instructions. Complaints often received from Specialists & Doctors regarding calculation errors or no totalling of I/O. Moreover, Nursing Sisters objective rounds often saw incompleteness of I/O chart. This study aims to identify the types of mistakes in recording the existing I/O chart. The second aim is to find out whether shift totalling of I/O chart helps in reducing mistakes. We try to determine whether the identified mistakes were repeated in the new I/O Chart. This study was conducted from October till December 2010 in 9 selected wards in Sibu Hospital. Data collection was divided into 3 phases. A pre-implementation audit using a checklist was carried out. The compliance rate of completeness of documentation of I/O Chart was 63%. A one month trial of new I/O chart was being done in the selected 9 wards. Post implementation audit showed a significant improvement of compliance rate (88%). Feedback from health care workers (N=110) showed that, 89% of doctors (n=17) and 60% of nurses (n=93) in the sample prefer to use the new format as more practical and relevant to the changing shift of nurses and doctors ward round. It is suggested to implement the new format to increase compliance rate of documentation of I/O charting. Briefing should be given to nurses periodically and the new format should be introduced to nursing students in nursing colleges.

searchhttp://www.academia.edu/1280104/The_study_of_nursing_documentation_complexities for full article http://www.us.elsevierhealth.com/media/us/samplechapters/9780443073991/9780443073991.pdf http://www.gobookee.net/intake-output-chart/

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