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Related Concept Videos

Types of Reports I: Hands-off Report01:25

Types of Reports I: Hands-off Report

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A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
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SBAR I: Understanding the Concept01:29

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Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
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Peripheral Artery Disease V: Postoperative Nursing Management01:23

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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Peripheral Artery Disease III: Interprofessional Care01:27

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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Peripheral Artery Disease IV: Nursing Management01:26

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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
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Related Experiment Video

Updated: Jul 17, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

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Improving Handoffs After Osteoporotic Fractures.

Ericka E Tung1, Ashley M Stantz2, Kaitlyn I Perry3

  • 1Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, Rochester, MN, USA.

Journal of the American Medical Directors Association
|September 7, 2023
PubMed
Summary

Improving osteoporosis care transitions from fracture liaison clinics to primary care practitioners significantly increased diagnosis and treatment documentation in older adults, reducing recurrent fracture risks.

Keywords:
Interdisciplinary communicationosteoporotic fracturespatient handoff

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Area of Science:

  • Geriatrics
  • Quality Improvement
  • Health Services Research

Background:

  • Osteoporotic fractures in long-term care residents incur significant costs and lead to recurrent fractures due to inadequate diagnosis and treatment.
  • Existing care transition processes from specialist to primary care practitioners (PCPs) for osteoporosis management are not well-defined, creating a gap in care.

Purpose of the Study:

  • To develop and evaluate a program for improving care transitions from hospital-based fracture liaison clinics (FLCs) to PCPs for older adults with osteoporosis.

Main Methods:

  • An interdisciplinary quality improvement team analyzed patient experiences and surveyed PCPs to identify barriers.
  • A multicomponent intervention was developed, including standardized EHR documentation, a structured handoff process, and patient engagement tools.
  • Care transition measures were compared before and after the intervention (June-September 2021).

Main Results:

  • Electronic health record (EHR) documentation of osteoporosis diagnosis increased from 56% to 92% (P < .001).
  • Significant increases were observed in documentation of treatment recommendations, risk factors, and PCP discussions regarding osteoporosis.
  • The intervention clarified roles and addressed system barriers in care transitions.

Conclusions:

  • A practical, multicomponent intervention effectively improved care transitions from FLCs to PCPs for older adults with osteoporosis.
  • This quality improvement initiative enhanced the documentation and likely the management of osteoporosis post-fracture.
  • Establishing clear roles and standardized processes is crucial for safe and effective post-fracture care transitions.