Related Concept Videos
01:26Methods 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.
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:
01:29Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
01:24Numerical Calculations
In engineering applications, the representation of the numerical value is critical. Presenting or reporting the answer is one of the essential parts of engineering practices. Numerical calculations are performed using handheld calculators or computers since numerically accurate answers are always preferred.
The solution to a problem is obtained using different methods. While manually solving algebraic symbols is one of the most common methods, the graphical method is often preferred. Computers...
The solution to a problem is obtained using different methods. While manually solving algebraic symbols is one of the most common methods, the graphical method is often preferred. Computers...
02:30Quantifying Work
As a system undergoes a change, its internal energy can change, and energy can be transferred from the system to the surroundings, or from the surroundings to the system.
01:29SBAR I: Understanding the Concept
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
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Hourly rounding implementation: a multisite description of structures, processes, and outcomes.
June Rondinelli1, Margaret Ecker, Cecelia Crawford
1Southern California Kaiser Permanente Regional Nursing Research Program, Pasadena, California 91188, USA. June.L.Rondinelli@kp.org
The Journal of Nursing Administration
|May 24, 2012
Summary
Hourly nurse rounding improves patient care outcomes. Successful implementation requires flexible structures and processes, incorporating patient and staff feedback for optimal results.
Area of Science:
- Healthcare Management
- Nursing Practice
- Quality Improvement
Background:
- Existing literature indicates that hourly nurse rounding positively impacts quality outcomes.
- There is a need for evidence detailing the successful implementation processes of hourly nurse rounding.
Purpose of the Study:
- To identify key structures, processes, and outcomes related to hourly nurse rounding.
- To understand the practical aspects of implementing hourly nurse rounding in a healthcare setting.
Main Methods:
- An action research design was employed.
- Recorded telephone interviews were conducted with project leads from 11 Southern California hospitals.
- Content analysis was performed on transcribed interviews.
Main Results:
- Fifteen major themes emerged from the analysis.
- Structural themes included specific rounding behaviors and collaborative communication strategies.
- Process themes highlighted the use of a feedback-driven tool library.
- Outcome themes focused on enhanced patient satisfaction and perception of care.
Conclusions:
- Frequent reevaluation of structures and processes is crucial for achieving desired outcomes with hourly rounding.
- Sustained success in hourly rounding implementation necessitates flexibility over rigid routinization.