Improving Health Care Workers’ Compliance with Traceability by Recording the Nursing Process at the Point of Care Using a Personal Digital Assistant with a Barcode

Olga Florea (1, 2) , Jean-Charles Dufour (3, 4) , Chloe Magnin (1, 3, 4) , Philippe Brouqui (1, 2) , Sophia Boudjema (1, 2)

1 MEPHI - Microbes évolution phylogénie et infections
2 IHU Marseille - Institut Hospitalier Universitaire Méditerranée Infection
3 SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD - Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale
4 BiosTIC - Biostatistique et technologies de l'information et de la communication (BioSTIC) - [Hôpital de la Timone - APHM]

Background: Adverse events are serious and frequent complications most often linked to the quality of nursing care. Purpose: We evaluated the compliance to traceability of nursing care at bedside using the Patient Smart Reader, a personal digital assistant with a barcode. Methods: We compared paper record forms, specific computer software in the hospital information system and the Patient Smart Reader. Results: The Patient Smart Reader enhanced the recording of 90% of nursing care surveyed. Regarding the insertion of blood catheters, compliance rates increased from 44.19 % to 100%, and blood catheter monitoring has risen from 29.64% to 80.74%. Urinary catheter monitoring and insertion recording increased from 10.23% to 55.43% and from 16.67% to 100 % respectively. Conclusions: Providing to caregivers a nursing record system using barcoded implements at the point of care in real time significantly improved traceability of the nursing care.

Keywords: Electronic records; Nursing records; Personal digital assistant; Adverse event; Hospital-acquired infection; Blood catheter; Urinary catheter; Traceability

Domains: Life Sciences [q-bio]; Human health and pathology; Infectious diseases; Life Sciences [q-bio]; Human health and pathology; Emerging diseases

Olga Florea, Jean-Charles Dufour, Chloe Magnin, Philippe Brouqui, Sophia Boudjema. Improving Health Care Workers’ Compliance with Traceability by Recording the Nursing Process at the Point of Care Using a Personal Digital Assistant with a Barcode. Journal of Nursing & Care, 2020, 9, pp.3. ⟨10.37421/jnc.2020.9.500⟩. ⟨hal-02937985⟩