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Related Concept Videos

Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

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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...
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SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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Community Based Intervention01:30

Community Based Intervention

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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
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Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

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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:
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Behavior Modification01:21

Behavior Modification

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Behavioral approaches have often been criticized for ignoring mental processes and focusing solely on observable behavior. However, these approaches provide an optimistic perspective for individuals seeking to change their behaviors. Rather than concentrating on intrinsic personality traits, behavioral approaches suggest that even longstanding habits can be modified by changing the reward contingencies that maintain them.
A real-world application of operant conditioning principles is applied...
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Nursing Implementation01:15

Nursing Implementation

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Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
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Related Experiment Video

Updated: Oct 18, 2025

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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Implementation and Routinization of the ABCDE Bundle: A Mixed Methods Evaluation.

Ashley W Collinsworth, Rachel Brown, Louann Cole

    Dimensions of Critical Care Nursing : DCCN
    |October 4, 2021
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    Summary

    The ABCDE (Awakening and Breathing Coordination, Delirium monitoring and management, and Early exercise/mobility) bundle improves patient care and outcomes. Successful adoption strategies include EHR tools, training, and feedback, accelerating implementation in intensive care units.

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    Area of Science:

    • Critical care medicine
    • Patient safety
    • Healthcare quality improvement

    Background:

    • The ABCDE bundle is linked to reduced delirium and better patient outcomes.
    • Widespread adoption of the ABCDE bundle remains limited.

    Purpose of the Study:

    • To evaluate strategies for facilitating ABCDE bundle adoption.
    • To assess the impact of implementation strategies on adherence rates.
    • To understand clinician perceptions of the bundle and implementation.

    Main Methods:

    • Two implementation strategies were compared across 8 adult intensive care units.
    • Strategies included electronic health record (EHR) modification, training, clinical champions, and staff engagement.
    • Clinician interviews and surveys informed the assessment of implementation.

    Main Results:

    • Both strategies improved bundle adherence, with the basic EHR modification strategy showing superior results in some sites.
    • Clinicians perceived the bundle as "best care," enhancing standardization and coordination.
    • Key success factors included multidisciplinary rounds integration, ongoing support, training, and feedback.

    Conclusions:

    • The ABCDE bundle enhances care quality and patient outcomes.
    • EHR tools, training, and performance feedback accelerate bundle implementation.
    • Targeted implementation strategies are crucial for widespread adoption.