Table 4 Potential causes of error regarding fall outcome in the groups D and E
From: Validation of nursing documentation regarding in-hospital falls: a cohort study
Potential causes of error | Number (%) of episodes of care with a potential error |
|---|---|
1. The registered nurses documented a fall in the fall term in the nursing discharge note but no documented evidence for that could be found during the respective episode of care when reviewing the record | 30 (4.5) |
2. The registered nurses correctly documented that no fall had occurred during the respective episode of care, i.e. it was an error in the data extraction tool | 27 (4.0) |
3. The registered nurses documented a fall that occurred at an episode of care just before the sampled one, i.e. the patient was still in the hospital, but it was another episode of care before the current | 8 (1.2) |
4. The registered nurses documented a fall that occurred before arrival to the hospital | 6 (0.9) |
5. The registered nurses had chosen two alternatives in the fall term, both fall without injury and no fall, none of these patients had any fall | 6 (0.9) |
6. The registered nurses had included fall at the emergency department that is not part of the current episode of care | 3 (0.4) |
7. The episode of care did not have a discharge note and the extraction tool took information from the direct previous episode of care | 3 (0.4) |
8. Fall in the patient’s own home during leave (still admitted) | 1 (0.1) |
Total | 84 (12.6) |