Nursing Documentation 101: References  page 1

References Module 2: Importance of Accurate Documentation Ashurst, A. (2000). Care documentation for the 21 st  century. Nursing and Residential Care, 2(11), 542-544. Baker, R. & Norton, P. (2004). Health care error in the Canadian health care system:  a systematic review and analysis of leading practices in Canada and key initiatives elsewhere. Retrieved August 1, 2013, www.hc-sc.gc.ca. Blair, W. & Smith, B. (2012). Nursing documentation: Frameworks and barriers. Contemporary Nurse, 41(2), 163. Cheevakasemsook, A., Chapman, Y., Francis, K., & Davies, C. (2006). The study of nursing documentation complexities.  International Journal of Nursing Practice, 12, 366- 374. College of Nurses of Ontario (CNO). (2002.). Nursing documentation standards. Toronto, Ontario Canada: Author College of Registered Nurses of British Columbia (CRNBC). (2012). Practice support: nursing documentation. Vancouver, BC Canada: Author Griffiths, R., Jeffries, D., & Johnson, M. (2010). A meta-study of the essentials of quality nursing documentation. International Journal of Nursing Practice, 16, 112-124. Paans, W., Sermus, W., Nieweg, R. & van der Schanns, C., (2010). Prevalence of accurate nursing documentation in patient records. Journal of Advanced Nursing, 66(11), 2481-2489. Treas, L. & Wilkinson, J. (2011). Fundamentals of nursing – theory, concepts and applications (2 nd  ed.) Philadelphia, PA: F.A.Davis Co. Warren, A. & Creech-Tart, R. (2008). Fatigue and charting errors: the benefit of a reduced call schedule. Association of Perioperative Registered Nurse (AORN) Journal, 88(1), 88-95.

REFERENCES

Nursing Documentation 101: References  page 2

World Health Organization (2013). Exploring patient participation reducing health care related safety risks. Retrieved August 1, 2013, www.euro.who.int. Module 3: Essential Elements of Accurate Documentation Brenner, Z.R., Dimitroff, L. J., & Nichols, L.W. (2010).  Documentation of nursing care behaviors. International Journal for Human Caring, 14(4):7-13. Brunetti, L., Hicks, R., & Santell, J. (2007). The impact of abbreviations on patient safety. The Joint Commission Journal on Quality and Patient Safety, 33(9), 576-583. College of Registered Nurses of British Columbia (2012). Practice Support – Nursing Documentation. Retrieved February 14, 2014, from http://www.crnbc.ca Mosby-Elsevier. (2006). Mosby’s surefire documentation – how, what, and when nurses need to document (2 nd  ed.). St. Louis, MO: Author Lippincott, Williams & Wilkins. (2006). Charting made incredibly easy (3 rd  ed.) Philadelphia, PA: Author Toronto, Ontario: York University, Osgoode Law School (2013).  Legal risk management in documentation and charting for nurses. Module 4: Applying Documentation Knowledge to Practice Covenant Health (2014). Inpatient transfer nursing process. Women’s Health Manual. 1-4. Covenant Health (2013). Consent to treatments/procedure(s): adults with capacity. Corporate Policy and Procedures Manual. Policy # V11-B-55. Covenant Health (2011). Pro re nata (PRN) Medication.  Corporate Policy and Procedures Manual. Policy # V11-B-40. Lippincott, Williams & Wilkins. (2006). Documenting made incredibly easy (3 rd  ed.)  Philadelphia, PA: Author Mosby-Elsevier. (2006). Mosby’s surefire documentation –how, what, and when nurses need to document (2 nd  ed.). St. Louis, MO: Author Rokosh, C. (2006, April). Patient falls create liability issues for health care providers. The Lawyers Weekly (Newsletter). 9,13.

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Module 5: Legal Issues in Documentation Canadian Nurses Protective Society (2007). Quality documentation: your best defence. Info Law, 1(1). Mosby-Elsevier. (2006). Mosby’s surefire documentation –how, what, and when nurses need to document (2 nd  ed.). St. Louis, MO: Author Lippincott, Williams & Wilkins. (2006). Charting made incredibly easy (3 rd  ed.) Philadelphia, PA: Author Osgoode Hall Law School Professional Development:  Legal risk management in documentation and charting for nurses (2013).  Toronto, Ontario: York University Rokosh, Chris: Nursing documentation that will defend you in the event of litigation.  (2014). In the Legal Issues in Nursing Workshop. Edmonton, AB: Execu-Links Module 6: Electronic Documentation Canadian Nurses Protective Society. (2013). Info law – mobile devices in the workplace. Retrieved April 30, 2014, from http://www.cnps.ca Kelley, T.F., Brandon, D.H., & Docherty, S.L. (2011). Electronic nursing documentation as a   strategy   to   improve   quality   of   patient   care.   Journal   of   Nursing   Scholarship ,   43(2),   154   – 162. Kutney-Lee, A. & Kelly D., (2011). The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety. The Journal of Nursing Administration, 41(11), 466-472. Laitinen, H., Kaunonen, M., & Astedt-Kurki, P. (2010). Patient-focused nursing documentation expressed by nurses. Journal of Clinical Nursing, 19, 489-497. Lippincott Williams & Wilkins. (2006). Charting made incredibly easy (3 rd  ed.). Philadelphia, PA: Lippincott Williams & Wilkins. Lippincott Williams & Wilkins. (2009). Nursing know how – charting patient care. Philadelphia, PA: Lippincott Williams & Wilkins. Mosby. (2006). Mosby’s sure-fire documentation: How, what, and when nurses need to document. St Louis, MO: Mosby Elsevier Treas, L. & Wilkinson, J. (2011). Fundamentals of nursing – theory, concepts and applications (2 nd  ed.) Philadelphia, PA: F. A. Davis Co.