Journal Article

Documentation of clinical review and vital signs after major surgery.

McGain F; Cretikos MA; Jones D; Van Dyk S; Buist MD; Opdam H; Pellegrino V; Robertson MS; Bellomo R.

This study discovered that incomplete nursing documentation postoperatively was associated with night shifts and patients not receiving epidural or patient-controlled analgesia. Incomplete medical documentation was noted more commonly on the weekends.