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Related Concept Videos

Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Methods of Documentation II: POMR01:26

Methods of Documentation II: POMR

The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Formats for Nursing Documentation01:28

Formats for Nursing Documentation

Nursing documentation encompasses various formats designed to capture precise patient data, facilitate communication among healthcare team members, and ensure comprehensive and accurate patient records. Let's explore each of these formats in detail:
Nursing Assessment Form:
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Related Experiment Video

Updated: Jul 5, 2026

Quantifying Pain Location and Intensity with Multimodal Pain Body Diagrams
09:00

Quantifying Pain Location and Intensity with Multimodal Pain Body Diagrams

Published on: July 7, 2023

[A multi-user documentation system for pain clinics.].

M Bautz1, M Pfingsten, M Weber

  • 1Ambulanz für Schmerzbehandlung am Zentrum Anaesthesiologie der Universitätskliniken Göttingen, Robert-Koch-Straße 40, D-3400, Göttingen.

Schmerz (Berlin, Germany)
|September 1, 1989
PubMed
Summary
This summary is machine-generated.

A new microcomputer documentation system aids pain clinics in managing patient data for better analysis and research. This system enhances efficiency and data accessibility, ultimately improving pain therapy quality.

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Published on: January 20, 2019

Area of Science:

  • Pain Medicine
  • Health Informatics

Context:

  • Effective patient data management is crucial in pain clinics for historical analysis, treatment evaluation, and research.
  • Chronic pain syndromes require detailed documentation for understanding etiology and epidemiology.

Purpose:

  • To develop a microcomputer-based documentation system for pain clinics.
  • To improve the management, analysis, and accessibility of patient-related data.

Summary:

  • A microcomputer documentation system utilizing dBASE software was developed for pain clinics, storing patient data in identification, diagnostic, and treatment sections.
  • Initially designed for single-user MS-DOS, the system now supports multi-user local area networks (LAN) with NOVELL-Netware.
  • Key features include flexible data management, rapid access, high compatibility for data exchange, and administrative/scheduling capabilities.

Impact:

  • Standardizes routine work and enhances the economic efficiency of pain clinic operations.
  • Facilitates follow-up studies through features like a recall system and mail-merge service.
  • Aims to ultimately enhance the quality of pain therapy through improved data management and research capabilities.