How smart is the chart? Completeness of the medical record in documenting diarrhea in patients tested for Clostridioides difficile infection
Practitioners and nursing staff often did not record information on the frequency and consistency of stools. [...]efforts to improve documentation of diarrhea are needed if periodic medical record review is to be used to assess the appropriateness of CDI testing. [...]in some cases, the information...
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Veröffentlicht in: | Infection control and hospital epidemiology 2023-11, Vol.44 (11), p.1896-1897 |
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Hauptverfasser: | , , |
Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | Practitioners and nursing staff often did not record information on the frequency and consistency of stools. [...]efforts to improve documentation of diarrhea are needed if periodic medical record review is to be used to assess the appropriateness of CDI testing. [...]in some cases, the information on bowel movements provided by patients or family members may have been inaccurate. [...]education of personnel and patients about the definition of clinically significant diarrhea and efforts to improve documentation of diarrhea are needed to support CDI diagnostic stewardship interventions. |
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ISSN: | 0899-823X 1559-6834 |
DOI: | 10.1017/ice.2023.134 |