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  • Title: Glasgow coma scale: how to improve and enhance documentation.
    Author: Hansen B, Quick J, Sinkovits E, Smith JC.
    Journal: J Trauma Nurs; 2014; 21(3):122-4; quiz 125-6. PubMed ID: 24828774.
    Abstract:
    The Glasgow Coma Scale (GCS) is an international tool used to measure the level of consciousness for traumatically injured patients. One Level I and 3 Level II Trauma Centers in our Health Care System perceived a deficiency in the documentation of the GCS. An audit was performed and insufficient documentation was confirmed. An educational plan was developed and implemented to improve documentation. A reaudit was performed to determine the success of these interventions. Although improvement was demonstrated, additional action was taken to enhance documentation in the electronic medical record.
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