Patient records: Supporting interprofessional communication in hospital

Abstract

Complete and continuous documentation in patient records is an important condition for adequate communication with patients, between the professions concerned and to ensure the quality of the following working steps in care provision. Part of a German research project concerning the interprofessional communication in hospital was therefore to analyse the use of the documentation system. 54 users were asked about practical aspects of their documentation system and 450 patient records were evaluated. The analysis focused on the medical and nursing documentation of admission, process and discharge. Deficits that need to be improved appeared first of all in the practical aspects of the documentation system, the flow of information between the professions, in specific gaps of medical and nursing admission, documentation of process and discharge. Quality management is asked to improve and develop the documentation in collaboration with the users and to consider specific problems when introducing computer based records.

Effects of interprofessional education for medical and nursing students: enablers, barriers and expectations for optimizing future interprofessional collaboration – a qualitative study

“…In Germany, IPE and research on the impact for interprofessional collaboration (IPC) in routine care is still in its iunfancy. First IPE activities concerned interprofessional communication in hospitals [ 20 ], interprofessional seminars in ethics [ 21 ], and interprofessional emergency management [ 22 ]. To support a sustainable implementation of IPE the GMA Committee - ‘Interprofessional Education for the Health Care Professions’ was founded in 2011.…”

Pflegepraktikum Innere Medizin: Evaluation und Einflüsse auf die Einstellung zum Fach

“…Dies scheint notwendig, da z. B. das Modellprojekt zur Untersuchung der "Interprofessionellen Kommunikation im Krankenhaus" [6] von Bundesärztekammer und Deutschem Pflegerat (1999 bis 2002) zu dem Schluss kam, dass die Kooperation zwischen Ärzten und Pflegepersonal "stark optimierungswürdig" sei [7]. Dieser Befund ist umso gravierender, da die Zusammenarbeit des interprofessionellen Teams einen deutlichen Einfluss auf die Gesundheitsversorgung hat [8 -11].…”

Begrifflichkeiten für die Zusammenarbeit in den Gesundheitsberufen – Definition und gängige Praxis

“…In Germany, several projects have been undertaken to examine collaboration between the health professions [ 7 ], [ 8 ], [ 9 ], [ 10 ], [ 11 ], [ 12 ], [ 13 ], [ 14 ]. It is noticeable that the terms used to denote collaboration in the health professions are varied and show little consensus in how they are used.…”