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Methods of Documentation V: CBE

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...

Healthcare Associated Infections II: Preventive Measures

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...

Guidelines for Writing Outcome

Guidelines for Writing Outcome

When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...

Methods of Documentation VI: Case Management Model

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...

The Scientific Method in Nursing Process

The Scientific Method in Nursing Process

The scientific method provides the foundation for any research. It is the most reliable and objective of all forms of gaining knowledge and guides in applying research-based evidence in practice and conducting future research.
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be safely...

Methods of Documentation VII: EMR

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,...

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Related Experiment Video

Updated: Jun 15, 2026

Evidence-based Knowledge Synthesis and Hypothesis Validation: Navigating Biomedical Knowledge Bases via Explainable AI and Agentic Systems

Evidence-based Knowledge Synthesis and Hypothesis Validation: Navigating Biomedical Knowledge Bases via Explainable AI and Agentic Systems

Published on: June 13, 2025

How to practice evidence-based medicine.

Jennifer A Swanson¹, DeLaine Schmitz, Kevin C Chung

¹Arlington Heights, Ill.; and Ann Arbor, Mich. From the American Society of Plastic Surgeons and the Section of Plastic Surgery, Department of Surgery, University of Michigan Health System.

Plastic and Reconstructive Surgery

|March 13, 2010

Summary

This summary is machine-generated.

Evidence-based medicine (EBM) integrates best research evidence with clinical expertise and patient values for optimal patient care. This initiative promotes EBM understanding and application in plastic surgery practice.

Related Experiment Videos

Last Updated: Jun 15, 2026

Evidence-based Knowledge Synthesis and Hypothesis Validation: Navigating Biomedical Knowledge Bases via Explainable AI and Agentic Systems

Evidence-based Knowledge Synthesis and Hypothesis Validation: Navigating Biomedical Knowledge Bases via Explainable AI and Agentic Systems

Published on: June 13, 2025

Area of Science:

Medical research methodology
Clinical practice guidelines
Health services research

Background:

Evidence-based medicine (EBM) is crucial for informed clinical decision-making.
Plastic surgery faces challenges in consistently applying EBM principles.
The American Society of Plastic Surgeons and Plastic and Reconstructive Surgery are promoting EBM.

Purpose of the Study:

To define evidence-based medicine.
To highlight the importance of EBM in plastic surgery.
To introduce a series of articles on EBM for plastic surgeons.

Main Methods:

Overview of the evolution of EBM.
Discussion of current applications of EBM in clinical practice.
Exploration of practical implementation strategies for EBM.

Main Results:

EBM combines research evidence, clinical expertise, and patient preferences.
A new initiative aims to enhance EBM adoption in plastic surgery.
This article serves as an introductory guide to EBM.

Conclusions:

Plastic surgeons are encouraged to embrace EBM principles.
Improved understanding and application of EBM can enhance patient outcomes.
This series will provide further resources for EBM implementation.