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Related Concept Videos

Archival Research01:40

Archival Research

Some researchers gain access to large amounts of data without interacting with a single research participant. Instead, they use existing records to answer various research questions. This type of research approach is known as archival research. Archival research relies on looking at past records or data sets to look for interesting patterns or relationships. For example, a researcher might access the academic records of all individuals who enrolled in college within the past ten years and...
Methods of Documentation I: Source-Oriented Records01:18

Methods 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:
Types of Records II: Educational and Administrative Records01:18

Types of Records II: Educational and Administrative Records

Maintaining nurses' educational and administrative records in healthcare settings, including hospitals and nursing schools, is paramount. Here's a breakdown of the types of academic records mentioned:
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.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
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.
Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...

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Related Experiment Video

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Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index
06:55

Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index

Published on: January 8, 2020

Completing records-based research within the military: a user's guide.

Chad A Krueger1, Wendy Ching, Joseph C Wenke

  • 1Brooke Army Medical Center, Fort Sam Houston, TX, USA. chad.krueger@amedd.army.mil

Journal of Surgical Orthopaedic Advances
|March 2, 2013
PubMed
Summary

This article guides researchers on conducting military orthopaedic studies using records-based research. It shares experiences and lessons learned from a retrospective study on amputees, detailing data sources and access within the Department of Defense.

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Area of Science:

  • Orthopaedic Surgery
  • Military Medicine
  • Retrospective Research Methodology

Background:

  • Military orthopaedic research frequently relies on records-based studies.
  • Conducting such research presents unique challenges and requires specific methodological considerations.

Purpose of the Study:

  • To provide methodological guidance for military records-based orthopaedic research.
  • To share experiences and lessons learned from a retrospective study involving military amputees.
  • To detail data sources and access within Department of Defense systems for research.

Main Methods:

  • Retrospective analysis of Department of Defense data systems.
  • Focus on a specific case study of military amputees.
  • Identification and description of available military data sources and access protocols.

Main Results:

  • Outlined specific data sources within military health systems.
  • Provided practical advice on navigating Department of Defense data systems.
  • Highlighted common obstacles and strategies for overcoming them in military records-based research.

Conclusions:

  • Records-based research in the military, particularly for orthopaedic studies, is feasible with careful planning.
  • Understanding and accessing Department of Defense data systems is crucial for successful retrospective studies.
  • This methodological article aims to facilitate future military health research, especially concerning amputee populations.