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

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:
• A nursing assessment form is a foundational document that captures detailed patient data from physical assessments and nursing histories.
• It includes patient demographics, medical history, current medications, vital...
Guidelines for Nursing Documentation I01:30

Guidelines for Nursing Documentation I

Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:  
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
Flow Sheet01:17

Flow Sheet

Flowsheets are valuable tools in nursing documentation. They enable healthcare professionals to efficiently record and monitor various patient assessments and measurements in a consolidated format.
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
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 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:
Nursing Clinical Information System01:27

Nursing Clinical Information System

Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:

You might also read

Related Articles

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

Sort by
Same author

Older Black and Hispanic Patient Perceptions of Medicare Annual Wellness Visits: A Qualitative Study.

Annals of family medicine·2026
Same author

Acute Respiratory Infections in Primary Care-Precision Microbiology Fails to Bring Order to Diagnostic Disarray.

JAMA internal medicine·2026
Same author

Multidimensional Sleep Health and Cognitive Risk in Midlife Primary Care: Comparing Questionnaires.

medRxiv : the preprint server for health sciences·2026
Same author

Urgent Care Stewardship for Glucocorticoid Overuse in Acute Respiratory Infections.

JAMA network open·2026
Same author

Behavioural nudges to reduce low-value care for low back pain in the emergency department (NUDG-ED): a 2 × 2 factorial, pragmatic cluster randomized trial.

CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne·2026
Same author

Higher intensity care for patients with multiple chronic conditions after hospital-physician integration.

Health affairs scholar·2026
Same journal

Sensitivity Analyses of a Scoring System for a Contraception Decision Aid.

AMIA ... Annual Symposium proceedings. AMIA Symposium·2026
Same journal

Improving electronic health record processing of large language models via retrieval-augmented generation: A case study on dietary supplements.

AMIA ... Annual Symposium proceedings. AMIA Symposium·2026
Same journal

Developing a User-Centered Mobile Application Prototype: Bridging Lower-Limb Fracture Care from Skilled Nursing Facility and Back to the Community.

AMIA ... Annual Symposium proceedings. AMIA Symposium·2026
Same journal

KERAP: A Knowledge-Enhanced Reasoning Approach for Accurate Zero-shot Diagnosis Prediction Using Multi-agent LLMs.

AMIA ... Annual Symposium proceedings. AMIA Symposium·2026
Same journal

Automating Adjudication of Cardiovascular Events Using Large Language Models.

AMIA ... Annual Symposium proceedings. AMIA Symposium·2026
Same journal

Predictive Factors and State-Level Barriers to Postpartum Birth Control Usage in the United States: Insights from PRAMS Phase 8.

AMIA ... Annual Symposium proceedings. AMIA Symposium·2026
See all related articles

Related Experiment Video

Updated: Jul 2, 2026

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
07:51

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis

Published on: September 26, 2018

User interface accelerators for clinical documentation in Smart Form.

Matvey B Palchuk1, Anatoly Postilnik, Maya Olsha-Yehiav

  • 1Clinical Informatics R&D, Partners HealthCare System, Inc., Boston, MA, USA.

AMIA ... Annual Symposium Proceedings. AMIA Symposium
|August 13, 2008
PubMed
Summary
This summary is machine-generated.

User interface accelerators were implemented in a clinical decision support application. These tools streamline visit documentation and integrate decision support into the workflow.

Related Experiment Videos

Last Updated: Jul 2, 2026

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
07:51

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis

Published on: September 26, 2018

Area of Science:

  • Clinical Informatics
  • Human-Computer Interaction

Background:

  • Clinical decision support (CDS) applications are crucial for evidence-based practice.
  • Integrating CDS seamlessly into clinical workflows remains a challenge.
  • Efficient documentation is essential for effective healthcare delivery.

Purpose of the Study:

  • To improve the efficiency of clinical documentation.
  • To enhance the integration of clinical decision support into the user interface.
  • To streamline the process of documenting patient visits.

Main Methods:

  • Deployment of user interface accelerators within the text editor of a documentation-based CDS application.
  • Focus on enhancing the user experience for healthcare providers.
  • Iterative development based on workflow analysis.

Main Results:

  • Accelerators significantly enhance the process of documenting a patient visit.
  • Improved integration of actionable decision support directly into the documentation workflow.
  • Positive impact on user efficiency and data entry.

Conclusions:

  • User interface accelerators are effective in optimizing clinical documentation.
  • Integrating CDS tools within the documentation interface improves usability and adoption.
  • This approach facilitates real-time access to decision support during patient encounters.