Examinando por Autor "Malqui Vilca, Rocio Del Pilar"

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    Frequent errors of care annotations in nursing records.
    (Universidad Privada Norbert Wiener, 2018-08-26) Malqui Vilca, Rocio Del Pilar; Munayco Mendieta, Juan Roberto; Pretell Aguilar, Rosa Maria
    Objective: To analyze and systematize the evidence on common errors in nursing care documentation. Materials and Methods: A systematic review of 13 scientific articles was conducted, using the following databases: BVS, Cochrane Library, LILACS, Scielo, Google Scholar, Pubmed, Espistemonikos. The search for articles was restricted to full text, and they were critically reviewed according to their design type. Of the articles reviewed, 84.5% were descriptive, 7.6% systematic, and 7.6% quasi-experimental. Results: Of the total of 13 articles reviewed, 100% (n=13/13) show that the main failures are the lack of identification and stamps, absence of some important items when filling them out, illegible handwriting, spelling errors, use of incorrect terminology, use of correction fluid, and a large percentage are incomplete in terms of their structure and context, and lack of information about the care provided. Conclusions: In 13 of the 13 studies, the existence of frequent errors in nursing care documentation is demonstrated. Additionally, the reviewed studies highlighted that common errors included lack of personal identification, illegibility, non-standardized terminology, absence of stamps and signatures, presence of drafts and correction fluid, among others.