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Related Concept Videos

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...
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...
Methods of Documentation VI: Case Management Model01:15

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...
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:
Errors occurring during blood pressure monitoring01:25

Errors occurring during blood pressure monitoring

Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
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:

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Related Experiment Video

Updated: Jun 4, 2026

A Computer-Based Platform for Aiding Clinicians in Eating Disorder Analysis and Diagnosis
04:19

A Computer-Based Platform for Aiding Clinicians in Eating Disorder Analysis and Diagnosis

Published on: May 10, 2022

Commentary: Reducing diagnostic errors: another role for checklists?

Bradford D Winters1, Monica S Aswani, Peter J Pronovost

  • 1Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Academic Medicine : Journal of the Association of American Medical Colleges
|February 25, 2011
PubMed
Summary
This summary is machine-generated.

Diagnostic errors harm patients, but are hard to measure. Checklists show promise for reducing these errors in healthcare, but require rigorous testing for efficacy and effectiveness.

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Design to Implementation Study for Development and Patient Validation of Paper-Based Toehold Switch Diagnostics
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Design to Implementation Study for Development and Patient Validation of Paper-Based Toehold Switch Diagnostics

Published on: June 17, 2022

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Last Updated: Jun 4, 2026

A Computer-Based Platform for Aiding Clinicians in Eating Disorder Analysis and Diagnosis
04:19

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Published on: May 10, 2022

Design to Implementation Study for Development and Patient Validation of Paper-Based Toehold Switch Diagnostics
10:42

Design to Implementation Study for Development and Patient Validation of Paper-Based Toehold Switch Diagnostics

Published on: June 17, 2022

Area of Science:

  • Medical error research
  • Patient safety initiatives
  • Cognitive science in medicine

Background:

  • Diagnostic errors are a significant patient safety concern with unknown prevalence.
  • Checklists, successful in aviation, are being explored to mitigate healthcare diagnostic errors.
  • Existing interventions, like ICU checklists, often integrate behavioral changes and robust measurement.

Discussion:

  • Cognitive biases and mental shortcuts contribute to diagnostic errors.
  • Checklists may help reduce these cognitive pitfalls in clinical decision-making.
  • Healthcare's complexity differs from aviation's linear systems, posing unique challenges for checklist implementation.

Key Insights:

  • Checklists need validation for both efficacy (reducing errors) and effectiveness (routine use).
  • Interventions must align with clinicians' cognitive processes, especially under pressure.
  • Accurate measurement of diagnostic errors is crucial for evaluating interventions.

Outlook:

  • Developing reliable methods to measure diagnostic errors is essential.
  • Pilot testing checklist interventions is necessary to determine their real-world impact.
  • Future research should focus on integrating cognitive support tools into clinical workflows.