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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:
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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.
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Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

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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.
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Methods of Documentation IV: Focus Charting01:26

Methods of Documentation IV: Focus Charting

Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
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Selecting a clinical intervention documentation system for an academic setting.

Brent I Fox1, Miranda Andrus, E Kelly Hester

  • 1Auburn University Harrison School of Pharmacy. foxbren@auburn.edu

American Journal of Pharmaceutical Education
|April 27, 2011
PubMed
Summary
This summary is machine-generated.

This study details selecting a pharmacy intervention documentation system for doctor of pharmacy (PharmD) programs. It guides schools in choosing tools to track clinical interventions and financial impact across all experiential sites.

Keywords:
documentationinterventionselectionsoftware

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Area of Science:

  • Pharmacy Education
  • Clinical Pharmacy Practice
  • Health Informatics

Background:

  • Extensive literature exists on pharmacist intervention documentation in acute care.
  • Limited research covers intervention documentation within Doctor of Pharmacy (PharmD) programs.
  • No prior reports describe selecting an application for diverse pharmacy practice and experiential sites.

Purpose of the Study:

  • To describe the process of selecting and implementing a school-wide intervention documentation system.
  • To find a tool supporting documentation from all experiential sites.
  • To enable assignment of financial impact (hard and soft savings) to interventions.

Main Methods:

  • A systematic process was followed by a school of pharmacy to select an intervention documentation application.
  • The selection criteria focused on comprehensive site support and financial impact tracking.
  • Implementation of the chosen system across the school's experiential program.

Main Results:

  • A school-wide system was selected and implemented to document clinical interventions.
  • The system allows for documentation from all experiential pharmacy practice sites.
  • The capability to assign both hard and soft dollar savings to interventions was achieved.

Conclusions:

  • The described process offers guidance for other pharmacy schools.
  • Selecting a comprehensive intervention documentation system is crucial for PharmD programs.
  • Effective documentation captures the clinical and financial value of pharmacy services.