Main errors found in ICU records during the analysis of the Nurse Auditor
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2023 |
| Outros Autores: | , , , , |
| Tipo de documento: | Artigo |
| Idioma: | por |
| Título da fonte: | Revista JRG de Estudos Acadêmicos |
| Texto Completo: | http://revistajrg.com/index.php/jrg/article/view/733 |
Resumo: | The word audit comes from the Latin verb “audire” defined as “one who listens”, being applied by the English later as “auditing”, which means a careful and systematic examination of the activities carried out in a given organization. Intensive Care Unit (ICU) is an environment of high care complexity and requires a specialized nursing team. Due to the complexity of care in this sector, it is necessary that the communication be written. Therefore, in a sector with peculiar characteristics, which brings together a number of people in critical condition, there is a need for a careful evaluation of the records to avoid losses. In view of this, the present study aimed to answer the following guiding question: What are the main errors found in Nursing records in the medical records of patients admitted to the Intensive Care Unit during the analysis of the Nurse Auditor? This integrative review study was developed in five stages. As a result, we obtained several errors found in the medical records during the analysis of the nursing audit. Based on the results obtained, it will be possible to outline future strategies to prevent errors in nursing records. |
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Main errors found in ICU records during the analysis of the Nurse AuditorPrincipais erros encontrados em prontuários da UTI durante a análise do Enfermeiro AuditorAuditoria de EnfermagemUnidade de Terapia IntensivaRegistros de EnfermagemAvaliação de Processos em Cuidados de SaúdeNursing AuditIntensive care unitNursing RecordsEvaluation of Processes in Health CareThe word audit comes from the Latin verb “audire” defined as “one who listens”, being applied by the English later as “auditing”, which means a careful and systematic examination of the activities carried out in a given organization. Intensive Care Unit (ICU) is an environment of high care complexity and requires a specialized nursing team. Due to the complexity of care in this sector, it is necessary that the communication be written. Therefore, in a sector with peculiar characteristics, which brings together a number of people in critical condition, there is a need for a careful evaluation of the records to avoid losses. In view of this, the present study aimed to answer the following guiding question: What are the main errors found in Nursing records in the medical records of patients admitted to the Intensive Care Unit during the analysis of the Nurse Auditor? This integrative review study was developed in five stages. As a result, we obtained several errors found in the medical records during the analysis of the nursing audit. Based on the results obtained, it will be possible to outline future strategies to prevent errors in nursing records. A palavra auditoria vem do verbo latim “audire” definido como “aquele que ouve”, sendo aplicada pelos ingleses mais tarde como “auditing”, que significa um exame cuidadoso e sistemático das atividades desenvolvidas em determinada organização. Unidade de Terapia Intensiva (UTI) é um ambiente de alta complexidade assistencial e requer equipe de enfermagem especializada. Devido à complexidade de cuidados neste setor, é necessário que a comunicação seja escrita. Sendo assim, em um setor com características peculiares, que reúne um montante de pessoas em estado crítico, há a necessidade de uma avaliação criteriosa dos registros para se evitar perdas. Diante disso, o presente estudo teve como objetivo responder a seguinte questão norteadora: Quais os principais erros encontrados nos registros de Enfermagem em prontuário de pacientes internados na Unidade de Terapia Intensiva durante a análise do Enfermeiro Auditor? Este estudo de revisão integrativa foi desenvolvido cinco etapas. Como resultados obtivemos vários erros encontrados nos prontuários durante análise da auditoria em enfermagem. Com base nos resultados obtidos será possível traçar estratégias futuras para prevenção de erros nos registros de enfermagem.Editora JRG2023-10-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigo avaliado pelos Paresapplication/pdfhttp://revistajrg.com/index.php/jrg/article/view/73310.55892/jrg.v6i13.733ark:/57118/JRG.v6i13.733JRG Journal of Academic Studies; Vol. 6 No. 13 (2023): JRG Journal of Academic Studies; 1479-1485JRG Journal of Academic Studies ; Vol. 6 Núm. 13 (2023): Revista JRG de Estudos Acadêmicos; 1479-1485JRG Journal of Academic Studies; V. 6 N. 13 (2023): Revista JRG de Estudos Acadêmicos; 1479-1485Revista JRG de Estudos Acadêmicos ; v. 6 n. 13 (2023): Revista JRG de Estudos Acadêmicos; 1479-14852595-1661ark:/57118/jrg.v6i13reponame:Revista JRG de Estudos Acadêmicosinstname:Editora JRGinstacron:JRGporhttp://revistajrg.com/index.php/jrg/article/view/733/700https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSantos, Joyce PereiraSantos, Nisiane dosCosta, Ianne Barcelos OliveiraAlmeida, Taynar da CostaMenezes, Débora de Jesus dos SantosRamada, Katiana Patrícia Marques2023-10-18T13:34:38Zoai:ojs2.revistajrg.com:article/733Revistahttp://revistajrg.com/index.php/jrgPRIhttp://revistajrg.com/index.php/jrg/oaiprofessorjonas@gmail.com||2595-16612595-1661opendoar:2023-10-18T13:34:38Revista JRG de Estudos Acadêmicos - Editora JRGfalse |
| dc.title.none.fl_str_mv |
Main errors found in ICU records during the analysis of the Nurse Auditor Principais erros encontrados em prontuários da UTI durante a análise do Enfermeiro Auditor |
| title |
Main errors found in ICU records during the analysis of the Nurse Auditor |
| spellingShingle |
Main errors found in ICU records during the analysis of the Nurse Auditor Santos, Joyce Pereira Auditoria de Enfermagem Unidade de Terapia Intensiva Registros de Enfermagem Avaliação de Processos em Cuidados de Saúde Nursing Audit Intensive care unit Nursing Records Evaluation of Processes in Health Care |
| title_short |
Main errors found in ICU records during the analysis of the Nurse Auditor |
| title_full |
Main errors found in ICU records during the analysis of the Nurse Auditor |
| title_fullStr |
Main errors found in ICU records during the analysis of the Nurse Auditor |
| title_full_unstemmed |
Main errors found in ICU records during the analysis of the Nurse Auditor |
| title_sort |
Main errors found in ICU records during the analysis of the Nurse Auditor |
| author |
Santos, Joyce Pereira |
| author_facet |
Santos, Joyce Pereira Santos, Nisiane dos Costa, Ianne Barcelos Oliveira Almeida, Taynar da Costa Menezes, Débora de Jesus dos Santos Ramada, Katiana Patrícia Marques |
| author_role |
author |
| author2 |
Santos, Nisiane dos Costa, Ianne Barcelos Oliveira Almeida, Taynar da Costa Menezes, Débora de Jesus dos Santos Ramada, Katiana Patrícia Marques |
| author2_role |
author author author author author |
| dc.contributor.author.fl_str_mv |
Santos, Joyce Pereira Santos, Nisiane dos Costa, Ianne Barcelos Oliveira Almeida, Taynar da Costa Menezes, Débora de Jesus dos Santos Ramada, Katiana Patrícia Marques |
| dc.subject.por.fl_str_mv |
Auditoria de Enfermagem Unidade de Terapia Intensiva Registros de Enfermagem Avaliação de Processos em Cuidados de Saúde Nursing Audit Intensive care unit Nursing Records Evaluation of Processes in Health Care |
| topic |
Auditoria de Enfermagem Unidade de Terapia Intensiva Registros de Enfermagem Avaliação de Processos em Cuidados de Saúde Nursing Audit Intensive care unit Nursing Records Evaluation of Processes in Health Care |
| description |
The word audit comes from the Latin verb “audire” defined as “one who listens”, being applied by the English later as “auditing”, which means a careful and systematic examination of the activities carried out in a given organization. Intensive Care Unit (ICU) is an environment of high care complexity and requires a specialized nursing team. Due to the complexity of care in this sector, it is necessary that the communication be written. Therefore, in a sector with peculiar characteristics, which brings together a number of people in critical condition, there is a need for a careful evaluation of the records to avoid losses. In view of this, the present study aimed to answer the following guiding question: What are the main errors found in Nursing records in the medical records of patients admitted to the Intensive Care Unit during the analysis of the Nurse Auditor? This integrative review study was developed in five stages. As a result, we obtained several errors found in the medical records during the analysis of the nursing audit. Based on the results obtained, it will be possible to outline future strategies to prevent errors in nursing records. |
| publishDate |
2023 |
| dc.date.none.fl_str_mv |
2023-10-18 |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigo avaliado pelos Pares |
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article |
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publishedVersion |
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http://revistajrg.com/index.php/jrg/article/view/733 10.55892/jrg.v6i13.733 ark:/57118/JRG.v6i13.733 |
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http://revistajrg.com/index.php/jrg/article/view/733 |
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10.55892/jrg.v6i13.733 ark:/57118/JRG.v6i13.733 |
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por |
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http://revistajrg.com/index.php/jrg/article/view/733/700 |
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JRG Journal of Academic Studies; Vol. 6 No. 13 (2023): JRG Journal of Academic Studies; 1479-1485 JRG Journal of Academic Studies ; Vol. 6 Núm. 13 (2023): Revista JRG de Estudos Acadêmicos; 1479-1485 JRG Journal of Academic Studies; V. 6 N. 13 (2023): Revista JRG de Estudos Acadêmicos; 1479-1485 Revista JRG de Estudos Acadêmicos ; v. 6 n. 13 (2023): Revista JRG de Estudos Acadêmicos; 1479-1485 2595-1661 ark:/57118/jrg.v6i13 reponame:Revista JRG de Estudos Acadêmicos instname:Editora JRG instacron:JRG |
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