Since the documentation process is majorly significant in the provision of care, the proper decision-making process must be applied so that the steps directed towards lessening, if not totally eradicating, of the troubles that the manual and traditional documentation bring must be realized. By analyzing the applicability of the KT problem-solving process using the theories learned about business and administration, and the importance of standardization of documentation in health care through reviewing related kinds of literature, the efficiency of the process taken and the identification of the choice will be known.
To be able to distinguish the benefit of the standardized electronic documentation process, it must be known first what is documentation, and why a move to an electronic but unfamiliar way too many is seen as beneficial instead of continuing the more common process and the traditional way of medical records documentation. According to the Complete Guide to Documentation book, documentation is the process of record-keeping of all the information related to a patient’s care (Lippincott Williams &. Wilkins [LW&.W], 2008, p. 2). Not only do the hospital staff and direct care providers become involved with this health documentation. Patients, their families, and other healthcare-related individuals, organizations and institutions would also require seeing the contents of these documents at one time or another. Hence, the accuracy of information being provided in a certain document must be on top-level. and the integration of data from the different healthcare departments must be well-organized not only to avoid future conflicts but also to assist the provision of uninterrupted, effective health care because what has been written guides those who follow next in the care of a certain patient. Thus, it also allows for transparency.
Existing records show that it was Florence Nightingale .who started the process of documentation to provide assistance in the delivery of care to patients.