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Related Concept Videos

Data Collection I01:30

Data Collection I

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Data collection gathers information needed to make accurate judgments about a patient's present condition. During a health history interview, subjective data is collected from the patient, their caregivers, or family members, and objective data is collected through observations and physical assessment. Patients are the primary source of subjective data. Thus information gathered from patients through interviews, observations, and physical examination is primary data. Secondary sources of...
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Data Collection III01:05

Data Collection III

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The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
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Nursing Assessment01:29

Nursing Assessment

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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...
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Purpose of Health Records I01:11

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The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
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Data Reporting and Recording01:24

Data Reporting and Recording

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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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The Use of Patient-Reported Measures Collected Data in Primary Care: A Systematic Review.

Oona Tchitcherin1,2, An Chen1,2,3, Kirsi Väyrynen1,4

  • 1Department of Obstetrics and Gynecology, Helsinki University Hospital, Helsinki, Finland.

Patient Related Outcome Measures
|December 29, 2025
PubMed
Summary

Patient-reported measures (PRMs) in primary care are effective when integrated into electronic health records and workflows. Barriers include technical issues and organizational culture, necessitating improved integration and engagement for optimal use.

Keywords:
clinical decision-makingelectronic health recordspatient-centered carepatient-reported outcome measures

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Area of Science:

  • Health Services Research
  • Primary Care Medicine
  • Digital Health

Background:

  • Patient-reported measures (PRMs) are increasingly recognized for their value in healthcare.
  • Effective utilization of PRM data in primary care settings remains a challenge.

Purpose of the Study:

  • To systematically review the utilization of PRMs in primary care.
  • To explore healthcare providers' use of PRM data and influencing factors.

Main Methods:

  • Systematic review following PRISMA 2020 guidelines.
  • Screened 2465 records, included 8 studies.
  • Data extraction and quality appraisal using Mixed Methods Appraisal Tool (MMAT).

Main Results:

  • Effective PRM data use hinges on integration into electronic health records (EHRs) and clinical workflows.
  • Barriers include technical limitations and organizational culture.
  • PRM data can enhance clinical decision-making, shared decision-making, communication, professional empowerment, and resource optimization.

Conclusions:

  • Seamless EHR integration, streamlined instruments, and professional engagement are crucial for optimal PRM implementation.
  • Moderate evidence quality necessitates cautious interpretation.
  • Further research is needed on cost-effectiveness and equity impacts.