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Related Concept Videos

SBAR I: Understanding the Concept01:29

SBAR I: Understanding the Concept

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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.
Standardized methods of communication have been developed to ensure that information is...
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Data Reporting and Recording01:24

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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...
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Types of Reports II: Incident or Occurrence Report01:21

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An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
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Types of Reports III: Telephone and Verbal Reports01:26

Types of Reports III: Telephone and Verbal Reports

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Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
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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.
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Purpose and Process:
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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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Structured Reporting in Sleep Medicine.

Katharina Bahr-Hamm1, Haralampos Gouveris1, Barbara Leggewie2

  • 1Department of Otorhinolarynoglogy, University Medical Center Mainz, 55131 Mainz, Germany.

Diagnostics (Basel, Switzerland)
|May 14, 2025
PubMed
Summary
This summary is machine-generated.

Structured reports (SRs) significantly improve the quality and efficiency of sleep medicine consultations for obstructive sleep apnea (OSA) compared to free-text reports (FTRs). SRs are more comprehensive, faster to complete, and preferred by clinicians.

Keywords:
obstructive sleep apneasleep medicinestructured reporting

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Area of Science:

  • Sleep Medicine
  • Otolaryngology
  • Medical Reporting

Background:

  • Somnological findings are often documented as variable free-text reports (FTRs).
  • Report quality in sleep medicine varies by examiner expertise and specialty.
  • Standardized reporting is needed for consistent, high-quality patient assessments.

Purpose of the Study:

  • To compare the quality of free-text reports (FTRs) versus structured reports (SRs) in otolaryngology for obstructive sleep apnea (OSA) assessment.
  • To evaluate completeness, time efficiency, and user satisfaction of FTRs and SRs.
  • To determine the impact of structured reporting on clinical practice in sleep medicine.

Main Methods:

  • Comparison of FTRs and SRs for 50 patients with suspected OSA.
  • Development of a standardized web-based template for SRs.
  • Evaluation of report completeness, completion time, and user satisfaction via questionnaire.

Main Results:

  • SRs demonstrated significantly higher completeness scores (88% vs. 54.2%, p < 0.001).
  • SRs required significantly less time to complete (10.2 min vs. 16.8 min, p < 0.001).
  • User satisfaction was significantly higher for SRs (VAS 8.3 vs. 2.2, p < 0.001).

Conclusions:

  • Structured reports (SRs) are more comprehensive and efficient than FTRs for OSA evaluations.
  • SRs enhance examiner satisfaction and support learning in sleep medicine.
  • Standardized structured reporting is recommended for improved somnological documentation.