Related Concept Videos
01:22Case Studies
There are many research methods available to psychologists in their efforts to understand, describe, and explain behavior and the cognitive and biological processes that underlie it.
01:26Types of Reports III: Telephone and Verbal Reports
Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Here's an overview of each type:
Telephone Orders
01:18Methods of Documentation I: Source-Oriented Records
Source-oriented records, or SOR, are medical record-keeping organized by the data source. The SOR system was first developed in the mid-1900s to organize the growing patient data in hospitals and other healthcare facilities.
In an SOR, each discipline involved in patient care maintains a separate medical record section. This record-keeping method enables easy tracking of patient progress and ensures healthcare staff have access to up-to-date information.
Key Attributes include the following:
In an SOR, each discipline involved in patient care maintains a separate medical record section. This record-keeping method enables easy tracking of patient progress and ensures healthcare staff have access to up-to-date information.
Key Attributes include the following:
01:25Types of Reports I: Hand-off Report
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
01:15Methods 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...
For example, a patient with a chronic illness...
01:24Data Reporting and Recording
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
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Related Experiment Video
Updated: May 24, 2026
07:50
A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
Published on: September 20, 2018
Handwritten undergraduate case reports.
Kieran McGlade1, Catherine Cargo, Damian Fogarty
1School of Medicine, Dentistry and Biomedical Sciences, Queen's University of Belfast, UK. k.mcglade@qub.ac.uk
The Clinical Teacher
|March 13, 2012
Summary
Medical students found handwritten case reports improved history-taking skills. This approach reduced report length and marking time, though some preferred word processors.
Area of Science:
- Medical Education
- Clinical Skills Training
Background:
- Traditional word-processed case reports present challenges like excessive length and lack of focus.
- A 'back to the future' approach was explored, utilizing handwritten case reports during clinical placements.
Purpose of the Study:
- To evaluate the impact and utility of a new handwritten case report template for medical students.
- To assess student and assessor preferences and perceived benefits of the handwritten approach.
Main Methods:
- A handwritten template, based on the hospital clerking-in process, was developed and linked to a new assessment pro forma.
- An electronic survey was administered to students and assessors after one year of implementation.
Main Results:
- The new template was positively received by both students and assessors.
- 55.6% of students preferred handwriting, citing improved case history structure and history-taking skills.
- Assessor marking time decreased from 23.56 to 16.38 minutes per report.
Conclusions:
- The handwritten approach enhances learning of case history structure and history-taking skills.
- The system is adaptable, with ongoing development for flexibility across specialties and integration with electronic medical records.