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Types of Reports III: Telephone and Verbal Reports

Types of Reports III: Telephone and Verbal Reports

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

Methods of Documentation II: POMR

Methods of Documentation II: POMR

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.

Methods of Documentation VII: EMR

Methods of Documentation VII: EMR

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...

Guidelines for Writing Outcome

Guidelines for Writing Outcome

When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...

Methods of Documentation III: PIE

Methods of Documentation III: PIE

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:

Role of Communication in the Nursing Process III: Evaluation and Documentation

Role of Communication in the Nursing Process III: Evaluation and Documentation

A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:

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E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Implementing Patient-Reported Measures into Emergency Care Workflows: A Scoping Review.

Diane Kuhn¹, Laura Lemen², Mirian Ramirez³

¹Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, Indiana; Regenstrief Institute, The William M. Tierney Center for Health Services Research, Indianapolis, Indiana.

The Journal of Emergency Medicine

|April 9, 2026

Summary

This summary is machine-generated.

Implementing patient-reported measures in emergency departments (EDs) needs clearer terminology and standardized reporting. Future research should focus on the implementation process and stakeholder engagement for better quality measurement.

Keywords:

Emergency department Patient-centeredness Patient-reported experience measures Patient-reported outcome measures Quality of care Scoping review

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Area of Science:

Emergency Medicine
Health Services Research
Quality Improvement

Background:

Patient-centered quality measures, including patient experience and functional assessments, are increasingly used in emergency departments (EDs).
Limited understanding exists regarding the implementation details (timing, mode, terminology, reporting) of these measures in the ED setting.

Conclusions:

Clarifying concepts and focusing on the implementation process are crucial for effective use of patient-reported quality measures in EDs.
Engaging key clinical stakeholders is essential to facilitate the adoption and utility of these quality measures.