Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

1.5K
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...
1.5K
Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

2.1K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
2.1K
Methods of Documentation II: POMR01:26

Methods of Documentation II: POMR

1.5K
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.
1.5K
Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

1.5K
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...
1.5K
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

980
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...
980
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

3.5K
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
3.5K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Large Language Model Summarization of Physician-to-Physician Calls for Interhospital Transfer of Patients With ST-Elevation Myocardial Infarction: Observational Study.

Journal of medical Internet research·2026
Same author

Artificial Intelligence Summarization in the Emergency Department-One Size Does Not Fit All.

JAMA network open·2026
Same author

Tracing the Pen: Electronic Health Records Amid the Rise of Generative AI.

NPJ digital medicine·2026
Same author

Large Language Model Performance and Clinical Reasoning Tasks.

JAMA network open·2026
Same author

Changes in Clinician Time Expenditure and Visit Quantity With Adoption of Artificial Intelligence-Powered Scribes: A Multisite Study.

JAMA·2026
Same author

Establishing criteria for emergency department-based episode of care definitions: a modified Delphi study.

BMJ open·2026

Related Experiment Video

Updated: Feb 26, 2026

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
03:47

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients

Published on: July 12, 2024

1.2K

A Custom-Developed Emergency Department Provider Electronic Documentation System Reduces Operational Efficiency.

Joshua Feblowitz1, Sukhjit S Takhar1, Michael J Ward2

  • 1Harvard Medical School and the Department of Emergency Medicine, Brigham and Women's Hospital, Boston, MA.

Annals of Emergency Medicine
|July 18, 2017
PubMed
Summary
This summary is machine-generated.

Implementing electronic documentation systems (eDoc) in emergency departments (ED) can increase patient length of stay. This study found eDoc negatively impacted ED throughput, suggesting mitigation strategies are needed.

More Related Videos

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
08:13

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

7.2K
Reduced Procedure Time and Variability with Active Esophageal Cooling During Radiofrequency Ablation for Atrial Fibrillation
04:58

Reduced Procedure Time and Variability with Active Esophageal Cooling During Radiofrequency Ablation for Atrial Fibrillation

Published on: August 25, 2022

2.6K

Related Experiment Videos

Last Updated: Feb 26, 2026

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
03:47

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients

Published on: July 12, 2024

1.2K
Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
08:13

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

7.2K
Reduced Procedure Time and Variability with Active Esophageal Cooling During Radiofrequency Ablation for Atrial Fibrillation
04:58

Reduced Procedure Time and Variability with Active Esophageal Cooling During Radiofrequency Ablation for Atrial Fibrillation

Published on: August 25, 2022

2.6K

Area of Science:

  • Emergency Medicine
  • Health Informatics
  • Healthcare Operations

Background:

  • Electronic health record (EHR) implementation can enhance patient care but may disrupt emergency department (ED) efficiency.
  • Custom electronic documentation systems (eDoc) are increasingly adopted to replace paper-based processes.

Purpose of the Study:

  • To evaluate the impact of a custom ED provider electronic documentation system (eDoc) on operational performance.
  • To determine if eDoc implementation affects patient length of stay and time to disposition.

Main Methods:

  • Retrospective analysis of operational data from a single ED for 1-year periods before and after eDoc implementation.
  • Analysis of 60,870 pre- and 59,337 post-implementation patient encounters.
  • Multiple regression modeling to assess changes in length of stay and time to disposition, controlling for confounding variables.

Main Results:

  • A significant increase in overall mean length of stay (6.3 minutes) and length of stay for discharged patients (5.1 minutes) was observed post-eDoc implementation.
  • No statistically significant changes were found in length of stay for admitted patients or time to disposition.
  • Unadjusted analysis showed increases in all measured outcomes, with length of stay for admitted patients increasing by 11.4 minutes.

Conclusions:

  • The isolated implementation of a custom eDoc system was associated with increased overall and discharge length of stay in the ED.
  • Findings suggest that custom electronic provider documentation may negatively impact ED throughput.
  • Future research should explore strategies like reduced documentation, additional staff, scribes, or voice recognition to mitigate adverse effects.