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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...

Ethical Issues

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:

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...

Ethical Dilemmas I

Ethical Dilemmas I

Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
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Take the case of caring for minors, particularly in areas related to reproductive...

Ethics and Bioethics

Ethics and Bioethics

Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...

Legal Guidelines for Documentation

Legal Guidelines for Documentation

The legal guidelines for nursing documentation are essential for ensuring accurate, professional, and ethical recording of patient care. The guidelines are discussed here:

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Updated: May 27, 2026

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts

Published on: September 20, 2018

Ethical considerations in CMS's coverage with evidence development.

Annemarie Relyea-Chew¹

¹Department of Radiology, University of Washington, Seattle, Washington 98104, USA. archew@u.washington.edu

Journal of the American College of Radiology : JACR

|December 6, 2011

Summary

This review examines the Coverage with Evidence Development (CED) policy, its implementation, and ethical considerations for novel technologies. It highlights ethical issues in generating evidence for emerging medical innovations.

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Last Updated: May 27, 2026

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts

Published on: September 20, 2018

Area of Science:

Health Policy
Medical Ethics
Health Technology Assessment

Background:

The Centers for Medicare & Medicaid Services (CMS) utilizes Coverage with Evidence Development (CED) to evaluate new medical technologies.
CED policies aim to generate robust evidence on the safety, effectiveness, and cost-effectiveness of emerging health technologies.
The implementation of CED involves specific processes and criteria for evidence generation.

Purpose of the Study:

To review the CMS Coverage with Evidence Development (CED) policy.
To analyze the implementation processes of CED.
To identify and discuss key ethical issues associated with CED, particularly for novel and emerging technologies.

Main Methods:

Literature review of CMS policies and related ethical frameworks.
Analysis of ethical considerations in evidence generation for new medical technologies.
Discussion of implementation challenges and ethical dilemmas.

Main Results:

The CED policy provides a framework for evidence-based coverage decisions.
Implementation of CED involves rigorous data collection and analysis.
Significant ethical considerations arise concerning patient access, data privacy, and equitable application of CED.

Conclusions:

Coverage with Evidence Development is a critical policy for integrating novel technologies into healthcare.
Ethical oversight is paramount to ensure fair and responsible implementation of CED.
Addressing ethical challenges is essential for maximizing the benefits of CED for patients and the healthcare system.