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Related Concept Videos

Methods of Documentation II: POMR01:26

Methods of Documentation II: POMR

The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
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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...
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Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
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[Patient-reported outcomes (PRO): historical profile, definitions, classifications and problems].

P Refolo1, V Mele, R Minacori

  • 1Istituto di Bioetica, Facoltà di Medicina e chirurgia A. Gemelli, Università Cattolica del Sacro Cuore, Roma, Italia. pietro.refolo@rm.unicatt.it

La Clinica Terapeutica
|February 25, 2012
PubMed
Summary

Patient-reported outcomes (PROs) are crucial health measures reported by patients. This study explores their history, cultural background in patient-centered medicine, and ongoing debates regarding their healthcare application.

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Area of Science:

  • Health Services Research
  • Medical Informatics
  • Patient-Centered Care

Background:

  • Patient-reported outcomes (PROs) are increasingly vital in healthcare.
  • Their foundation lies in the patient-centered model of medicine.
  • Understanding PROs requires examining their historical context and evolution.

Purpose of the Study:

  • To provide a comprehensive overview of patient-reported outcomes (PROs).
  • To trace the historical development of PROs from 1914 to present applications.
  • To analyze the cultural background, classification, and key debates surrounding PROs in healthcare.

Main Methods:

  • Literature review and historical analysis of outcome measurement.
  • Survey of the cultural and theoretical underpinnings of PROs.
  • Classification of PROs based on the scale of outcomes measured.
  • Reconstruction of major discussions and debates on PRO utilization in healthcare.

Main Results:

  • PROs have a historical trajectory dating back to 1914.
  • Their application has expanded significantly in clinical trials and practice.
  • Key debates revolve around their integration and interpretation within healthcare systems.
  • PROs are classified based on the magnitude of outcomes they aim to detect.

Conclusions:

  • Patient-reported outcomes are integral to modern patient-centered healthcare.
  • A thorough understanding of their history and classification is essential for effective implementation.
  • Ongoing discourse is necessary to optimize the use of PROs in clinical practice and research.