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Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

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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
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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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Flow Sheet01:17

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Flowsheets are valuable tools in nursing documentation. They enable healthcare professionals to efficiently record and monitor various patient assessments and measurements in a consolidated format.
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
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Methods of Documentation IV: Focus Charting01:26

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Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
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Nursing Evaluation01:15

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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation01:20

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Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
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Updated: Feb 24, 2026

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

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Does Value Stream Mapping affect the structure, process, and outcome quality in care facilities? A systematic review.

Marina Nowak1, Holger Pfaff2, Ute Karbach2

  • 1Institute of Medical Sociology, Health Services Research and Rehabilitation Science (IMVR), Faculty of Human Sciences, Faculty of Medicine, University of Cologne, Eupener Strasse 129, 50933, Cologne, Germany. marina.nowak@uk-koeln.de.

Systematic Reviews
|August 26, 2017
PubMed
Summary

Value Stream Mapping (VSM) shows potential for improving healthcare quality by reducing wait times and length of stay. Further research with robust methodology is needed to confirm its effectiveness across all quality dimensions.

Keywords:
Lean managementOrganizational developmentQuality improvementSystematic reviewValue Stream Mapping

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Area of Science:

  • Healthcare Management
  • Lean Management in Healthcare
  • Quality Improvement Methodologies

Background:

  • Quality improvement in healthcare requires evidence-based, patient-centered approaches.
  • Value Stream Mapping (VSM) is a Lean management tool for visualizing and quantifying care processes.
  • VSM aims to enhance patient value and care quality.

Purpose of the Study:

  • To systematically review the effectiveness of Value Stream Mapping (VSM) in healthcare facilities.
  • To evaluate VSM's impact on structure, process, and outcome quality.
  • To synthesize findings from existing research on VSM in care settings.

Main Methods:

  • Systematic literature review conducted across multiple databases (PubMed, EBSCOhost, Web of Knowledge, EMBASE).
  • Inclusion of peer-reviewed English or German articles from January 2000 onwards.
  • Categorization of study results using Donabedian's model (structure, process, outcome) for data synthesis.

Main Results:

  • 22 studies met inclusion criteria; 11 were used for analysis.
  • Value Stream Mapping demonstrated positive effects on the time dimension of process and outcome quality.
  • VSM application was associated with reduced non-value-added time (e.g., waiting times) and shorter length of stay.

Conclusions:

  • Further research with improved, methodologically sound study designs is necessary to definitively conclude VSM's effectiveness.
  • VSM shows potential for improving healthcare quality, particularly in reducing time-related inefficiencies.
  • Contextual factors influencing VSM's impact across different quality domains require further investigation.