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Related Concept Videos

Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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 illness...
Therapeutic Drug Monitoring: Affecting Factors01:29

Therapeutic Drug Monitoring: Affecting Factors

Therapeutic Drug Monitoring (TDM) is the clinical practice of measuring specific drug levels in a patient's blood or body tissues to manage and optimize therapy. TDM is crucial for drugs with narrow therapeutic windows, like warfarin and phenytoin, where incorrect doses can lead to treatment failure or severe side effects. This monitoring ensures the dosage administered is within a safe and effective range. The factors affecting therapeutic drug monitoring include:Patient-Specific Factors:a.
Methods of Documentation IV: Focus Charting01:26

Methods of Documentation IV: Focus Charting

Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
It typically involves three columns for recording information:
Introduction to Documentation and Reporting01:20

Introduction to Documentation and Reporting

Documentation is the systematic process of formally recording, maintaining, and communicating information.
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive and precise...
Methods of Documentation II: POMR01:26

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.
Guidelines for Nursing Documentation I01:30

Guidelines for Nursing Documentation I

Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:  
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.

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Related Experiment Video

Updated: Jun 4, 2026

Enhanced Communication of Tumor Margins Using 3D Scanning and Mapping
07:47

Enhanced Communication of Tumor Margins Using 3D Scanning and Mapping

Published on: December 15, 2023

Multidisciplinary Tumor Board Documentation: Assessing its Frequency, Quality, and Impact.

Andrea N Riner1, Wilson Alobuia1, Amanda Walsh1

  • 1Department of Surgery, Division of Surgical Oncology, The Ohio State University Wexner Medical Center, Columbus, OH, USA.

Annals of Surgical Oncology
|June 3, 2026
PubMed
Summary
This summary is machine-generated.

Multidisciplinary tumor board documentation is inconsistent, impacting cancer care. Standardizing these records is crucial for disseminating recommendations and improving patient outcomes.

Keywords:
DocumentationGuidelinesMultidisciplinary tumor boardStandards

Related Experiment Videos

Last Updated: Jun 4, 2026

Enhanced Communication of Tumor Margins Using 3D Scanning and Mapping
07:47

Enhanced Communication of Tumor Margins Using 3D Scanning and Mapping

Published on: December 15, 2023

Area of Science:

  • Oncology
  • Healthcare Management
  • Medical Informatics

Background:

  • Multidisciplinary tumor boards (TB) are essential for cancer care consensus.
  • Lack of standardized documentation practices may affect patient outcomes.
  • This study characterized TB documentation at a single institution.

Purpose of the Study:

  • To assess the presence and quality of tumor board documentation.
  • To identify variations in documentation practices across different cancer types.
  • To explore the association between documentation and patient outcomes.

Main Methods:

  • Retrospective audit of 991 patients discussed at six TBs.
  • Data collected on documentation presence, quality, and content.
  • Analysis of associations with clinicodemographic variables and outcomes.

Main Results:

  • Documentation was present for only 51.7% of patients, with significant variation by disease site (5.5% breast to 97.0% colorectal).
  • Among documented cases, notes were often unstructured (44.7%), with variable content regarding recommendations, attendees, and clinical trial eligibility.
  • Patient notification of recommendations was documented in 55.7% of cases.

Conclusions:

  • Tumor board documentation is highly variable and may reflect the quality of multidisciplinary cancer care.
  • Developing standardized documentation practices is recommended to improve communication and care delivery.
  • Standardization could enhance the dissemination of consensus recommendations for complex cancer cases.