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 III: PIE01:21

Methods of Documentation III: PIE

1.7K
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:
1.7K
Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

1.1K
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...
1.1K
Methods of Documentation II: POMR01:26

Methods of Documentation II: POMR

1.1K
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.
1.1K
Group Design02:01

Group Design

9.8K
The most basic experimental design involves two groups: the experimental group and the control group. The two groups are designed to be the same except for one difference— experimental manipulation. The experimental group gets the experimental manipulation—that is, the treatment or variable being tested—and the control group does not. Since experimental manipulation is the only difference between the experimental and control groups, we can be sure that any differences between...
9.8K
Data Reporting and Recording01:24

Data Reporting and Recording

5.0K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
5.0K
Formats for Nursing Documentation01:28

Formats for Nursing Documentation

1.5K
Nursing documentation encompasses various formats designed to capture precise patient data, facilitate communication among healthcare team members, and ensure comprehensive and accurate patient records. Let's explore each of these formats in detail:
Nursing Assessment Form:
• A nursing assessment form is a foundational document that captures detailed patient data from physical assessments and nursing histories.
• It includes patient demographics, medical history,...
1.5K

You might also read

Related Articles

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

Sort by
Same author

Perceived impact of the COVID-19 pandemic and government restrictions on the lives of young adults living with HIV in Kisumu, Kenya.

PLOS global public health·2024
Same author

Factors associated with viral load re-suppression after enhanced adherence counseling among people living with HIV with an initial high viral load result in selected Nigerian states.

PLOS global public health·2024
Same author

Isoniazid preventive therapy completion between July-September 2019: A comparison across HIV differentiated service delivery models in Uganda.

PloS one·2024
Same author

I'm not burned out. This is how I write notes.

JAMIA open·2023
Same author

Integrating 3HP-based tuberculosis preventive treatment into Zimbabwe's Fast Track HIV treatment model: experiences from a pilot study.

Journal of the International AIDS Society·2023
Same author

Uses of Electronic Health Record Data to Measure the Clinical Learning Environment of Graduate Medical Education Trainees: A Systematic Review.

Academic medicine : journal of the Association of American Medical Colleges·2023

Related Experiment Video

Updated: Oct 17, 2025

Eye-tracking to Distinguish Comprehension-based and Oculomotor-based Regressive Eye Movements During Reading
05:54

Eye-tracking to Distinguish Comprehension-based and Oculomotor-based Regressive Eye Movements During Reading

Published on: October 18, 2018

6.4K

Writing Practices Associated With Electronic Progress Notes and the Preferences of Those Who Read Them: Descriptive

Thomas H Payne1, Carolyn Keller1, Pallavi Arora1

  • 1Department of Medicine, University of Washington School of Medicine, Seattle, WA, United States.

Journal of Medical Internet Research
|October 6, 2021
PubMed
Summary

Physician progress notes are lengthy and repetitive. Notes signed later in the day are read less often, indicating potential inefficiencies in hospital communication and electronic health record system use.

Keywords:
EHRclinical communicationcopy-pasteelectronic documentationelectronic health recordshospitalhospital progress noteshuman factorspatient recordsphysician communicationworkflow

More Related Videos

Assessment of Audio-Tactile Sensory Substitution Training in Participants with Profound Deafness Using the Event-Related Potential Technique
11:39

Assessment of Audio-Tactile Sensory Substitution Training in Participants with Profound Deafness Using the Event-Related Potential Technique

Published on: September 7, 2022

2.3K
Author Spotlight: Validation of SICOLE-R for Assessing Cognitive and Reading Skills in Spanish-Speaking Children and Its Role in Personalized Education
09:00

Author Spotlight: Validation of SICOLE-R for Assessing Cognitive and Reading Skills in Spanish-Speaking Children and Its Role in Personalized Education

Published on: August 16, 2024

962

Related Experiment Videos

Last Updated: Oct 17, 2025

Eye-tracking to Distinguish Comprehension-based and Oculomotor-based Regressive Eye Movements During Reading
05:54

Eye-tracking to Distinguish Comprehension-based and Oculomotor-based Regressive Eye Movements During Reading

Published on: October 18, 2018

6.4K
Assessment of Audio-Tactile Sensory Substitution Training in Participants with Profound Deafness Using the Event-Related Potential Technique
11:39

Assessment of Audio-Tactile Sensory Substitution Training in Participants with Profound Deafness Using the Event-Related Potential Technique

Published on: September 7, 2022

2.3K
Author Spotlight: Validation of SICOLE-R for Assessing Cognitive and Reading Skills in Spanish-Speaking Children and Its Role in Personalized Education
09:00

Author Spotlight: Validation of SICOLE-R for Assessing Cognitive and Reading Skills in Spanish-Speaking Children and Its Role in Personalized Education

Published on: August 16, 2024

962

Area of Science:

  • Medical Informatics
  • Healthcare Communication
  • Clinical Documentation

Background:

  • Hospital progress notes are crucial for communication but face criticism for excessive length and time demands.
  • Physician documentation practices are a significant factor in healthcare efficiency.

Purpose of the Study:

  • To characterize hospital progress note content, writing, and reading patterns before a new electronic health record system implementation.
  • To understand stakeholder preferences regarding progress note creation and consumption.

Main Methods:

  • Analysis of 4938 inpatient progress notes from 418 authors, measuring note length and content similarity.
  • Tracking note signing and reading times, and identifying readers.
  • Conducting focus groups with note writers, readers, and clinical leaders.

Main Results:

  • Average note length was 886 words, with high similarity between successive daily notes.
  • 29% of notes were signed after 4 PM and read less frequently.
  • Note value differed by reader role, and 26% of notes had clinical risk due to preserved content.

Conclusions:

  • Progress notes exhibit significant length variation and content redundancy.
  • Late signing times correlate with reduced readership, highlighting potential system inefficiencies.
  • Metrics on note length, signing/reading patterns, and content safety are vital for evaluating new electronic health record systems and driving improvements.