IDINSIGHTEVIDENCE

IMPLICATIONS

QUESTIONSTHEMESTAGS
D001Nurses often resort to simplifying and consolidating their FMT documentation day to day.

Observed high demand, frequent incidents, staff visibility, and decision-making impact in the ED drive informal documentation templates (e.g., Word doc drafts, paper-based systems), deviating from the standardized recording of each individual incident (i.e., SOAP). 

  • Decreased workload
  • Potential for inconsistent and incomplete documentation, resulting in missed details.
  • Potential for more time-consuming corrections in the future.


  • How common is the use of informal templates? Could there be a correlation between its use and patient acuity?
  • What would a balance between efficiency and completeness in documentation look like? Is there a better threshold that could serve as a red flag within documentation (e.g., word count)? 
  • How can the use of AI-based recommendations improve the quality of documentation without impacting workload?
  • System
  • Time
  • Agency
  • Structures
  • Interfaces

Time





Trust





Agency





Insight





Privilege





Gender/Violence/

Aggression