Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

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 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:
Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
Legal Guidelines for Documentation01:06

Legal Guidelines for Documentation

The legal guidelines for nursing documentation are essential for ensuring accurate, professional, and ethical recording of patient care. The guidelines are discussed here:
Methods of Documentation IV: Focus Charting01:26

Methods of Documentation IV: Focus Charting

Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
It typically involves three columns for recording information:
Guidelines and Strategies for Safe Computer Charting01:18

Guidelines and Strategies for Safe Computer Charting

The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

When the Dog Bites: A 5-Year Retrospective on Canine Bite Encounters.

Southern medical journal·2026
Same author

Tachycardia and Positive Amphetamine Screen are Associated With True Positive-Methamphetamine Exposures in Pediatric Patients.

Journal of the American College of Emergency Physicians open·2026
Same author

Care of HIV Patients in Long-Term Care Facilities: A Growing Concern and a Call to Action.

Archives of clinical and medical case reports·2025
Same author

A Scoping Review of Health-Related Citizen Science Projects Involving Indigenous Peoples in Australia and Internationally.

Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals·2025
Same author

Trailblazers in foregut surgery: Kyle Perry, MD (Ohio State University) interviews John Hunter, MD (Oregon Health and Science University).

Surgical endoscopy·2025
Same author

Integrating Australian Native Foods for a More Sustainable Food System: A Qualitative Co-Design Study with Aboriginal Communities.

International journal of environmental research and public health·2025

Related Experiment Video

Updated: Jul 4, 2026

A Test Bed to Examine Helmet Fit and Retention and Biomechanical Measures of Head and Neck Injury in Simulated Impact
07:30

A Test Bed to Examine Helmet Fit and Retention and Biomechanical Measures of Head and Neck Injury in Simulated Impact

Published on: September 21, 2017

Bicycle injury documentation before and after charting intervention.

Kathy Monroe1, Michele Nichols, Robin Bates

  • 1Division of Emergency Medicine, Department of Pediatrics, University of Alabama, Birmingham, AL, USA. kmonroe@peds.uab.edu

Pediatric Emergency Care
|June 27, 2008
PubMed
Summary

Implementing a standardized injury documentation sheet significantly improved bicycle injury record completeness in emergency departments. This enhances the accuracy of injury surveillance data for public health initiatives.

More Related Videos

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
08:13

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

A Novel Vertebral Stabilization Method for Producing Contusive Spinal Cord Injury
09:24

A Novel Vertebral Stabilization Method for Producing Contusive Spinal Cord Injury

Published on: January 5, 2015

Related Experiment Videos

Last Updated: Jul 4, 2026

A Test Bed to Examine Helmet Fit and Retention and Biomechanical Measures of Head and Neck Injury in Simulated Impact
07:30

A Test Bed to Examine Helmet Fit and Retention and Biomechanical Measures of Head and Neck Injury in Simulated Impact

Published on: September 21, 2017

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
08:13

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

A Novel Vertebral Stabilization Method for Producing Contusive Spinal Cord Injury
09:24

A Novel Vertebral Stabilization Method for Producing Contusive Spinal Cord Injury

Published on: January 5, 2015

Area of Science:

  • Emergency Medicine
  • Public Health
  • Injury Surveillance

Background:

  • Emergency department (ED) free-text records often lack crucial injury surveillance data.
  • Previous research highlighted deficiencies in routine documentation for injury monitoring.
  • An intervention was implemented to assess improvements in bicycle injury documentation.

Purpose of the Study:

  • To evaluate the impact of a standardized injury documentation sheet on the completeness of bicycle injury records.
  • To determine if structured prompts improve data capture for injury surveillance.

Main Methods:

  • A pretest/posttest study design was employed.
  • E-codes identified bicycle-related injuries for chart review.
  • A standardized data collection tool reviewed records before and after intervention.

Main Results:

  • Post-intervention, helmet use documentation increased from 49% to 77% (z = 6.97, P < 0.001).
  • Documentation of injury mechanisms also showed improvements.
  • Demographic data (age, race, sex) were collected for both periods.

Conclusions:

  • Standardized injury documentation prompts demonstrably increase record completeness.
  • Improved documentation facilitates more accurate injury surveillance.
  • This intervention supports enhanced public health data collection for injury prevention.