Abstract
Introduction: Decision-making is an integral part of quality patient care. The aim of this study was to evaluate decision-making documentation. Methods: A retrospective descriptive design was used to examine the documentation for a convenience sample of 48 trauma patients transported by rotor-wing aircraft. Results: A total of 1012 decisions were documented in the 48 records. The decisions were grouped into major conceptual problems. An average of 10.2 ± 4.56 conceptual problems were identified in each record. The top 10 conceptual problems were evaluated. Adequate documentation was found to support all decision-making related to the top 10 problems. Conclusion: Although air medical personnel may not directly document statements of rationale for their decision-making, sufficient data were present in the records to support each documented decision.
Original language | English (US) |
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Pages (from-to) | 77-82 |
Number of pages | 6 |
Journal | Air medical journal |
Volume | 19 |
Issue number | 3 |
DOIs | |
State | Published - 2000 |
Externally published | Yes |
Keywords
- Air transport
- Decision-making
- Documentation
- Nursing informatics
ASJC Scopus subject areas
- Emergency Medicine
- Emergency