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Related Concept Videos

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:
Assessing Blood pressure using a doppler ultrasound01:19

Assessing Blood pressure using a doppler ultrasound

To obtain accurate blood pressure measurements in clinical settings, especially when traditional methods are insufficient, healthcare professionals utilize the Doppler ultrasound technique. This method uses high-frequency sound waves to detect blood flow within the arteries, which is crucial for patients with conditions that complicate circulatory system assessment.
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
Assessment of apical radial pulse01:25

Assessment of apical radial pulse

Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
Assessing Blood pressure in the Leg01:11

Assessing Blood pressure in the Leg

Proper measurement of leg blood pressure is a critical skill for healthcare providers, ensuring precise and reliable readings. When performed correctly, this procedure informs patient care and enhances the efficacy of interventions. The following text outlines step-by-step guidelines to measure blood pressure in the leg, providing clarity and ease of understanding for practitioners.
Preparation:
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the patient.

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Related Experiment Video

Updated: Jun 8, 2026

Workflow and Framework for Collecting and Implementing Point-of-Care Ultrasound Data in the Management of Heart Failure Patients
03:47

Workflow and Framework for Collecting and Implementing Point-of-Care Ultrasound Data in the Management of Heart Failure Patients

Published on: July 12, 2024

Automating pressure ulcer risk assessment using documented patient data.

Hyeoneui Kim1, Jeeyae Choi, Sarah Thompson

  • 1Division of Biomedical Informatics, Department of Medicine, University of California, San Diego, La Jolla, CA 92093-0671, USA. hyeoneui@ucsd.edu

International Journal of Medical Informatics
|September 28, 2010
PubMed
Summary

A new automated tool, the Braden-scale based Automated Risk-assessment Tool (BART), shows potential for automatically assessing pressure ulcer risk using patient data. While not perfect, it demonstrates feasibility for clinical decision support.

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Area of Science:

  • Clinical Informatics
  • Nursing Research
  • Healthcare Technology

Background:

  • Pressure ulcers pose a significant challenge in healthcare settings, necessitating accurate and efficient risk assessment.
  • The Braden scale is a widely used tool for predicting pressure ulcer risk, but manual scoring can be time-consuming and prone to variability.

Purpose of the Study:

  • To develop and evaluate a rule-based prototype decision support tool, the Braden-scale based Automated Risk-assessment Tool (BART).
  • To determine if pressure ulcer risk scores can be automatically generated from documented patient data using BART.

Main Methods:

  • Identified Braden scale parameters and consulted expert nurses to define data requirements for risk assessment.
  • Evaluated documentation coverage and data formats for feasibility of automated processing.
  • Developed decision rules based on expert input and implemented them in the web-based BART prototype.
  • Calculated agreement rates between BART and nurses for scoring six Braden scale parameters using 39 patient data samples.

Main Results:

  • Most required data items were documented in formats suitable for algorithmic processing, despite some missing information.
  • BART and nurses demonstrated varying agreement levels (slight to substantial) on individual Braden scale parameter scores across 39 test cases.
  • A "fair" level of agreement was observed between BART and nurses for the overall "at risk" decision.

Conclusions:

  • The BART prototype has limitations requiring future enhancements for optimal performance.
  • BART shows promise in leveraging documented patient data for automated pressure ulcer risk assessment via the Braden scale.
  • This technology has the potential to improve efficiency and consistency in pressure ulcer risk management.