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Related Concept Videos

Patient-centered Care01:13

Patient-centered Care

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Guidelines for Writing Outcome01:11

Guidelines for Writing Outcome

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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...
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SBAR I: Understanding the Concept01:29

SBAR I: Understanding the Concept

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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...
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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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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...
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Role of Communication in the Nursing Process III: Evaluation and Documentation01:08

Role of Communication in the Nursing Process III: Evaluation and Documentation

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A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
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Introduction to Documentation and Reporting01:20

Introduction to Documentation and Reporting

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Documentation is the systematic process of formally recording, maintaining, and communicating information.
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
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Related Experiment Video

Updated: Apr 11, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

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The Association Between Sensemaking During Physician Team Rounds and Hospitalized Patients' Outcomes.

Luci K Leykum1,2,3, Hannah Chesser4, Holly J Lanham5,6,7

  • 1South Texas Veterans Health Care System, 7400 Merton Minter, San Antonio, TX, 78229, USA. Leykum@uthscsa.edu.

Journal of General Internal Medicine
|May 28, 2015
PubMed
Summary

Improving sensemaking during inpatient rounds, involving purposeful and patient-driven discussions, is linked to better patient outcomes. Enhanced sensemaking correlates with reduced length of stay, unnecessary length of stay, and fewer complications.

Keywords:
complexity sciencecomplication ratesinpatient teamslength of staysensemaking

Related Experiment Videos

Last Updated: Apr 11, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

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Area of Science:

  • Healthcare Management
  • Patient Safety
  • Clinical Communication

Background:

  • Sensemaking, the process of interpreting ambiguous events, is crucial for achieving high reliability in healthcare.
  • This study investigates sensemaking within inpatient physician teams during daily patient rounds.
  • Understanding team dynamics in patient care is essential for improving outcomes.

Purpose of the Study:

  • To assess the association between inpatient physician team sensemaking and patient outcomes.
  • Key outcomes examined include length of stay (LOS), unnecessary length of stay (ULOS), and complication rates.
  • The study aims to link team sensemaking practices to measurable patient results.

Main Methods:

  • Observation of 11 inpatient medicine teams over 2-4 weeks, with audiotaping of rounds.
  • Assessment of four patient discussions per team using the Situation, Task, Intent, Concern, Calibrate (STICC) framework.
  • Sensemaking was evaluated based on rounding order, purposeful rounding, patient-driven rounding, and STICC element utilization.

Main Results:

  • Purposeful and patient-driven rounding significantly correlated with lower complication rates.
  • Optimized patient sequencing and purposeful rounding were associated with reduced LOS.
  • Increased use of STICC elements demonstrated significant reductions in LOS, ULOS, and complications.

Conclusions:

  • Enhancing sensemaking in clinical practice can improve patient outcomes.
  • Fostering shared understanding of patient trajectories is key to high reliability.
  • Sensemaking strategies may offer a pathway to more effective inpatient care.