Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Methods of Documentation IV: Focus Charting

Methods of Documentation IV: Focus Charting

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.
It typically involves three columns for recording information:

Flow Sheet

Flow Sheet

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:

The X̄ Chart

The X̄ Chart

The x̄ chart is a statistical tool for monitoring the means in a process.
The x̄ chart, often known as the individual control chart, is a crucial tool in statistical process control. It is designed to monitor process behavior and performance over time and is widely used in various industries to ensure that processes are operating at their optimum capacity and within specified limits.
A x̄ chart is constructed by plotting individual measurements of a quality...

Nursing Evaluation

Nursing Evaluation

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.

Nursing Assessment

Nursing Assessment

The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...

Assessment of the Cardiovascular System III: Palpation

Assessment of the Cardiovascular System III: Palpation

Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...

You might also read

Related Articles

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

Sort by

Same author

Wah-ult in the vault.

Nature·2026

Same author

Trends in Medicare Office-Based Procedures for Chronic Rhinitis and Nasal Obstruction.

OTO open·2026

Same author

Possible alignment of the EU BSE surveillance with the new WOAH provisions.

EFSA journal. European Food Safety Authority·2026

Same author

Western diet induces iron-dependent enteric neurodegeneration via ferroptosis.

The Journal of clinical investigation·2026

Same author

Impact of case-specific learning goal on robotic-assisted surgery care delivery.

Global surgical education : journal of the Association for Surgical Education·2026

Same author

Glial Connexin-43 Is a Pathogenic Mechanism Promoting Gut Inflammation in Postoperative Ileus Induced by Gut Surgical Manipulation With Potential Relevance to Humans.

Cellular and molecular gastroenterology and hepatology·2026

Search research articles

Related Experiment Video

Updated: Jul 20, 2025

Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training

Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training

Published on: August 9, 2024

Cumulative Sum Chart as Complement to Objective Assessment of Graduating Surgical Resident Competency: An Exploratory

Xiaodong Phoenix Chen¹, Alan Harzman, Michael Go

¹From the Department of Surgery, The Ohio State University, Columbus, OH.

Journal of the American College of Surgeons

|August 2, 2023

Summary

Cumulative sum (CUSUM) charts of operative time can enhance the assessment of general surgery resident competency. This objective measure, alongside ACGME Milestones, helps determine if graduating residents are ready for practice.

More Related Videos

Simulator Training for Endovascular Neurosurgery

Simulator Training for Endovascular Neurosurgery

Published on: May 6, 2020

Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery

Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery

Published on: September 27, 2024

Related Experiment Videos

Last Updated: Jul 20, 2025

Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training

Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training

Published on: August 9, 2024

Simulator Training for Endovascular Neurosurgery

Simulator Training for Endovascular Neurosurgery

Published on: May 6, 2020

Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery

Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery

Published on: September 27, 2024

Area of Science:

Medical Education
Surgical Training
Competency Assessment

Background:

Rater-based and objective assessments are crucial for evaluating resident clinical competencies.
The study investigates the utility of cumulative sum (CUSUM) charts of operative time as a supplementary tool for assessing general surgery residents.

Purpose of the Study:

To determine if CUSUM charts of operative time complement the Accreditation Council for Graduate Medical Education (ACGME) Milestones evaluations.
To aid residency programs in assessing the practice readiness of graduating general surgery residents.

Main Methods:

ACGME Milestone evaluations for performance of operations and procedures (POP) and objective metrics (operative time, case type, complexity) were extracted for 15 residents (PGY4-5) across three procedures.
CUSUM charts were computed for each resident and procedure, defining a learning plateau as at least 4 cases with minimal deviation near the target performance.
Data included 2,446 cases: cholecystectomy (N=1234), colectomy (N=507), and inguinal hernia (N=705).

Main Results:

All residents met overall ACGME POP graduation targets by the end of their chief year.
Analysis of CUSUM charts revealed varied development processes among residents, with only 46.7% reaching a learning plateau in all three procedures by graduation.
Three CUSUM chart patterns were observed: skewed, bimodal, and peaks and valleys distributions.

Conclusions:

CUSUM charts of operative time serve as a valuable complement to ACGME Milestones evaluations for assessing surgical residents.
Integrating both assessment methods allows for a more holistic evaluation of graduating residents' practice readiness.
This combined approach can inform residency programs' recommendations for residents transitioning to independent practice.