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Blood Administration Documentation Audit Automation, Tonya Lawson, Harriette Lober, Andrea Nordmark
Blood Administration Documentation Audit Automation, Tonya Lawson, Harriette Lober, Andrea Nordmark
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Background: Blood administration is a high risk, low volume, complex procedure. It has strict regulatory requirements for documentation of at least 15 elements over the course of the procedure. There are frequently findings for deficient documentation during survey. Manual audits are time consuming and inaccurate. Every facility in the Providence system faces the same challenges to audit for compliance.
Problem: Detecting the rate of compliance for documentation of blood administration manually is difficult. Nursing documentation for blood administration is often incomplete. Manual audits are labor-intensive and have proven to have limited impact to increase documentation compliance.
Methods: We created an …