Glasgow coma scale: how to improve and enhance documentation.

J Trauma Nurs

Highland Park Hospital (Ms Hansen), Evanston Hospital (Ms Quick), Skokie Hospital (Ms Sinkovits), and Glenbrook Hospital (Ms Smith), NorthShore University HealthSystem, Evanston, Illinois.

Published: September 2015

The Glasgow Coma Scale (GCS) is an international tool used to measure the level of consciousness for traumatically injured patients. One Level I and 3 Level II Trauma Centers in our Health Care System perceived a deficiency in the documentation of the GCS. An audit was performed and insufficient documentation was confirmed. An educational plan was developed and implemented to improve documentation. A reaudit was performed to determine the success of these interventions. Although improvement was demonstrated, additional action was taken to enhance documentation in the electronic medical record.

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http://dx.doi.org/10.1097/JTN.0000000000000044DOI Listing

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