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What are the quality and safety issues in not charting pre and post pain assessments in...

What are the quality and safety issues in not charting pre and post pain assessments in the electronic medical record?

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Pre and post operative pain assessments have to be charted in the electronic health record. This data helps in knowing the status of the patient and comparing the pre and post operative period. It also helps in knowing the effectiveness of analgesics given to the patient. Along with it, this record gives the data to reduce the dose of analgesics given in the post operative period and gradually wean off. It improves the quality of the care of the patient by giving information to the other nurses and doctors regarding the status of the patient. It also avoids the lawsuit if any unexpected events do occur. These are the quality and safety issues in not charting the pre and post pain assessments in the electronic medical record.

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