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Here are 10 relevant, accessible papers and articles you can read on topics directly related to clinical documentation, uncertainty, handover safety, abnormal result follow-up and continuity of care in paediatric or general medical settings:
Core papers on clinical documentation and handovers (paediatric focus)
“Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit” – Examines how discrepancies in care plan documentation at transfer contribute to safety risks. (OUP Academic)
“Improving physician handover documentation process for patient transfer from paediatric intensive care unit to general ward” – Quality improvement study showing how structured documentation improved completeness and safety. (PubMed)
“Standardisation and structuring of nursing handover in paediatric inpatient care: A quasi-experimental study” – Demonstrates improved handover quality using a structured tool (SBAR-HP). (PubMed)
“Pediatric clinical handover: a best practice implementation project” – Implementation project on improving handover practice and communication in paediatric settings. (PubMed)
“Safe handoff practices and improvement of communication in different paediatric settings” – Overview article on safe handover strategies and communication in various paediatric environments. (ScienceDirect)
Broader studies on documentation quality and clinical uncertainty
“’Paper care not patient care’: Nurse and patient experiences of comprehensive risk assessment and care plan documentation in hospital” – Explores clinicians’ and patients’ perspectives on documentation practices and risk assessments. (PubMed)
“Patient-centered handovers between hospital and primary health care: an assessment of medical records” – Assesses continuity of care and completeness of documentation in transitions between settings. (PubMed)
“Quality and safety issues highlighted by patients in the handling of laboratory test results by general practices – a qualitative study” – Focuses on safety issues linked to handling and communication of test results. (SpringerLink)
“Diagnostic Uncertainty Among Critically Ill Children Admitted to the PICU: A Multicenter Study” – Investigates prevalence and factors associated with diagnostic uncertainty in paediatric critical care. (PubMed)
“Ensuring Data Integrity in Electronic Health Records: A Quality Health Care Implication” – Reviews the impact of data integrity in EHRs on overall quality and safety of clinical documentation. (arxiv.org)
If you want direct open access PDFs or links, I can help gather those too where available.
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