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Related Concept Videos

Methods of Documentation II: POMR01:26

Methods of Documentation II: POMR

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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.
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Issues And Trends In Healthcare Delivery System01:29

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
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Methods of Documentation VI: Case Management Model01:15

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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.
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The factors influencing the health-illness continuum can be internal or external and may or may not be under conscious control. They are related to the following eight human dimensions, and each dimension is interrelated to one other.
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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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It is not uncommon for complete drug pharmacokinetic profiles to remain elusive in pharmacokinetics. This necessitates certain educated assumptions by pharmacokineticists to determine appropriate dosage regimens without comprehensive pharmacokinetic data from animal or human studies. One prevalent assumption is setting the bioavailability factor, denoted as F, to 1 or 100%. This assumption caters to the scenario where a drug doesn't achieve full systemic absorption, resulting in the patient...
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Practising Medicine in a Finite World.

E Andreotti1

  • 1Lifeflight Toowoomba Base, Wilsonton, Queensland, Australia.

Emergency Medicine Australasia : EMA
|April 14, 2026
PubMed
Summary

Climate change significantly impacts human health, and healthcare systems contribute to emissions. Addressing environmental sustainability in emergency medicine (EM) is crucial for clinicians and organizations.

Area of Science:

  • Environmental science
  • Public health
  • Medical ethics

Background:

  • Climate change is a significant determinant of human health.
  • Healthcare systems contribute to greenhouse gas emissions via energy use, procurement, and supply chains.
  • This necessitates a dual response: addressing climate-related health impacts and reducing the sector's environmental footprint.

Purpose of the Study:

  • To explore ethical, professional, and practical perspectives on sustainability in emergency medicine (EM).
  • To encourage reflection on the role of clinicians in addressing environmental determinants of health.
  • To balance environmental responsibilities with primary patient care obligations.

Main Methods:

  • Review of ethical, professional, and practical viewpoints on sustainability in EM.

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  • Exploration of the challenges and opportunities for EM departments to measure and mitigate climate effects.
  • Discussion of the role of clinicians in advocating for and implementing sustainable practices.

    • Main Results:

    • Progress in sustainability within EM departments is limited and varies significantly.
    • There is a recognized need for emergency departments (EDs) to measure their climate impact and implement changes.
    • ACEM (Australasian College for Emergency Medicine) has declared climate change a medical emergency.

    Conclusions:

    • Clinicians and healthcare organizations face a complex challenge in addressing climate change's health impacts while reducing their own environmental impact.
    • Meaningful changes and increased awareness are needed within EDs to improve sustainability.
    • Integrating environmental stewardship into EM practice is essential for addressing the environmental determinants of health.