Issues hindering productivity during the production of the documentation, communication and information exchanges, and change management involved with the deliver of the EICS are presented.
Our single-centre audit shows that intensivists' written documentation of communication with substitute decision makers frequently outlined the plan of treatment, but did not provide a justification for the plan in relation to the patient's previous wishes, or its likelihood of benefit.
The objective of this study was to describe the nursing documentation of telephone communication with physicians in community nursing homes.
Regarding simultaneous activity combinations, we often observed documentation and simultaneous communication with colleagues or staff or, conversely, conversation with co-workers and concurrent documentation tasks.
This approach meets the demand for agile documentation and efficient communication with domain experts, and uses the fewest resources possible.
Intensivists' documentation of their communication with substitute decision makers frequently outlined the proposed plan of treatment, but often lacked evidence of discussion relevant to whether the treatment plan was expected to improve the patient's condition.
Communication with patients, documentation, and conversation with colleagues and nursing staff were the most frequently observed simultaneous activities.
On clinical wards, we found similar activity patterns to those found in US hospitals: most time was spent in documentation and communication activities with staff and only a fifth of it was dedicated to direct patient care [ 9].
We found a similar percentage (72%) of patients' charts with at least one note with documentation of communication abilities suggesting that our findings might apply to different types of communication disabilities and healthcare environments.
Communication with patients (25%), documentation (26%) and conversation with colleagues (30%) were the most frequent simultaneous activities.
