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...
Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters assessment...
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:
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,...
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:
Guidelines for Nursing Documentation II01:26

Guidelines for Nursing Documentation II

Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.

You might also read

Related Articles

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

Sort by
Same author

Assessing riparian functioning condition for improved ecosystem services: A case study of the Back Creek watershed (Virginia, USA).

Journal of environmental management·2025
Same author

Fellows of the American Medical Informatics Association (FAMIA): Looking Back and Looking Ahead.

Applied clinical informatics·2024
Same author

Role of a Nursing Informatics Specialist in a Clinical Simulation Laboratory: The Catalytic Link.

Nurse educator·2024
Same author

How Are Leading Research Institutions Engaging with Data Sharing Tools and Programs?

AMIA ... Annual Symposium proceedings. AMIA Symposium·2024
Same author

Pandemic Telemedicine Adoption Trends in a Predominantly Rural Integrated Health System.

AMIA ... Annual Symposium proceedings. AMIA Symposium·2023
Same author

Adapting Clinical Systems to Enable Adolescents' Genomic Choices.

ACI open·2022
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: Jun 28, 2026

Electromyometrial Imaging of Uterine Contractions in Pregnant Women
08:07

Electromyometrial Imaging of Uterine Contractions in Pregnant Women

Published on: May 26, 2023

Generating nurse profiles from computerized labor and delivery documentation.

Eric S Hall1, Sidney N Thornton

  • 1Department of Biomedical Informatics, University of Utah and Intermountain Healthcare, Salt Lake City, UT, USA.

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

This study introduces NuProGen, a tool that creates nurse profiles from electronic health records. It identifies expert nurses by analyzing their management of complex patient cases in Labor and Delivery.

Related Experiment Videos

Last Updated: Jun 28, 2026

Electromyometrial Imaging of Uterine Contractions in Pregnant Women
08:07

Electromyometrial Imaging of Uterine Contractions in Pregnant Women

Published on: May 26, 2023

Area of Science:

  • Nursing Informatics
  • Healthcare Management
  • Data Science

Background:

  • Computerized documentation is increasingly used in healthcare.
  • Developing objective methods to assess nursing expertise is crucial for quality patient care.
  • Labor and Delivery nursing involves managing diverse and complex patient conditions.

Purpose of the Study:

  • To present methods for generating nurse profiles using computerized documentation.
  • To introduce NuProGen (Nurse Profile Generator), a custom-built knowledge discovery tool.
  • To identify patterns in nursing documentation and care for specific patient conditions.

Main Methods:

  • Utilized NuProGen to analyze documentation from 91 Labor and Delivery nurses.
  • Calculated the number of complex patient cases (high BMI, bleeding, multiple gestation) managed by each nurse.
  • Examined documentation and nursing care patterns associated with the selected patient conditions.

Main Results:

  • Generated individual nurse profiles based on case management data.
  • Successfully identified patterns in nursing documentation and care.
  • Supported the identification of expert and novice nurses for specific patient conditions.

Conclusions:

  • Nurse profiling using computerized documentation is feasible and beneficial.
  • NuProGen can aid in recognizing nursing expertise in specialized areas like Labor and Delivery.
  • Nurse profile data offers valuable insights for professional development and resource allocation.