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Related Concept Videos

Types of Reports III: Telephone and Verbal Reports01:26

Types of Reports III: Telephone and Verbal Reports

Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Data Reporting and Recording01:24

Data Reporting and Recording

Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
Types of Reports I: Hand-off Report01:25

Types of Reports I: Hand-off Report

A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Group Design02:01

Group Design

The most basic experimental design involves two groups: the experimental group and the control group. The two groups are designed to be the same except for one difference— experimental manipulation. The experimental group gets the experimental manipulation—that is, the treatment or variable being tested—and the control group does not. Since experimental manipulation is the only difference between the experimental and control groups, we can be sure that any differences between the two are due to...
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...
SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...

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Related Experiment Video

Updated: Jun 20, 2026

Examining Online Syntactic Processing of Spoken Complex Sentences in Chinese Using Dual-Modal Interference Tasks
08:32

Examining Online Syntactic Processing of Spoken Complex Sentences in Chinese Using Dual-Modal Interference Tasks

Published on: September 5, 2019

Cohort study of structured reporting compared with conventional dictation.

Annette J Johnson1, Michael Y M Chen, J Shannon Swan

  • 1Department of Radiology, Wake Forest University School of Medicine, Winston Salem, NC 27157, USA. anjohnso@wfubmc.edu

Radiology
|August 28, 2009
PubMed
Summary

Structured reporting systems (SRS) did not improve radiology report quality for stroke imaging. In fact, using SRS decreased accuracy and completeness compared to conventional dictation, highlighting the need for testing any new system.

Related Experiment Videos

Last Updated: Jun 20, 2026

Examining Online Syntactic Processing of Spoken Complex Sentences in Chinese Using Dual-Modal Interference Tasks
08:32

Examining Online Syntactic Processing of Spoken Complex Sentences in Chinese Using Dual-Modal Interference Tasks

Published on: September 5, 2019

Area of Science:

  • Radiology
  • Medical Informatics

Background:

  • Radiology report quality is crucial for patient care.
  • Structured reporting systems (SRS) are proposed to enhance report quality.

Purpose of the Study:

  • To compare the quality of cranial magnetic resonance (MR) imaging reports generated by radiology residents using a structured reporting system (SRS) versus conventional free-text dictation for patients with suspected stroke.

Main Methods:

  • Two groups of residents (control and intervention) dictated cranial MR imaging cases.
  • The intervention group used SRS in the second phase, while the control group continued with free-text dictation.
  • Reports were graded for accuracy and completeness by a neuroradiologist.

Main Results:

  • No significant difference in report quality was found in the initial phase.
  • The intervention group using SRS showed decreased accuracy and completeness in the second phase.
  • The control group demonstrated improved accuracy and completeness over time.

Conclusions:

  • Implementing a structured reporting system (SRS) does not automatically guarantee improved radiology report quality.
  • The impact of SRS on intrinsic report quality, such as accuracy and completeness, requires thorough evaluation before adoption.