Poor documentation, communication and co-ordination between hospital and health centre staff and a lack of clinical governance compromised the standard of care during the discharge and afterwards.
The trend towards increasingly systematic methodologies of formulating a diagnosis, tracking improvement and outcome, and monitoring changes in functioning offers several benefits to the patient and for providers, e.g., improved documentation, easier communication between treatment providers, and transfer-of-services between practitioners.
Clear documentation is important to improve communication between team members and also with the patient.
High quality nursing documentation aims to promote structured, consistent and effective communication between caregivers, and facilitate continuity and patient safety [ 1- 4].
One ambulance worker stressed that communication between healthcare professionals, and proper documentation of patients' functions, statements, and wishes are important to avoid unnecessary transfers.
Despite experiential evidence of spatial overlap among existing ocean uses, a lack of documentation made the identification of potential space-use conflicts, communication between existing and potential ocean users, and the design of mitigation exceedingly challenging.
However, qualitative data showed the benefits of improved documentation within medical charts, initiation of multidisciplinary rounds, and improved communication between medical staff.
Open lines of communication between the physician and patient as well as documentation of patient wishes in the form of advance directives would squash many of the conflicts that present when end of life treatment decisions are held in question.
Communication between the multidisciplinary staff members was provided during structured documentation in the patients files.
The factors involved poor documentation, misinterpretation of laboratory results, issues with storage of the prophylaxis, and communication between departments.
