Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Progress notes model

H Aghili¹, R A Mushlin, R M Williams

¹Health Care Solutions Project, IBM T.J. Watson Research Center, Hawthorne, NY 10532, USA.

Proceedings : a Conference of the American Medical Informatics Association. AMIA Fall Symposium

|January 1, 1997

Summary

This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

A Prospective Phase I/II Study of Docetaxel, Cisplatin and Continuous Capecitabine in Advanced Oesophago-Gastric Cancer (NWCOG-3).

Clinical oncology (Royal College of Radiologists (Great Britain))·2018

Same author

Development of a low-level <sup>39</sup>Ar calibration standard - Analysis by absolute gas counting measurements augmented with simulation.

Applied radiation and isotopes : including data, instrumentation and methods for use in agriculture, industry and medicine·2017

Same author

Effects of diode laser (980 nm) on orthodontic tooth movement and interleukin 6 levels in gingival crevicular fluid in female subjects.

Lasers in medical science·2016

Same author

First results of a simultaneous measurement of tritium and (14)C in an ultra-low-background proportional counter for environmental sources of methane.

Journal of environmental radioactivity·2016

Same author

Shielding concepts for low-background proportional counter arrays in surface laboratories.

Applied radiation and isotopes : including data, instrumentation and methods for use in agriculture, industry and medicine·2016

Same author

Development of a low-level (37)Ar calibration standard.

Applied radiation and isotopes : including data, instrumentation and methods for use in agriculture, industry and medicine·2015

This paper introduces a new model for medical progress notes to improve clarity and accountability in patient records. The proposed structure ensures comprehensive, accurate, and easily understandable documentation for better healthcare communication.

Area of Science:

Medical Informatics
Clinical Documentation

Background:

Progress notes are the largest part of medical records, documenting patient care, diagnosis, and treatment.
Effective progress notes are crucial for clear communication among healthcare providers.
Current notes often lack the desired readability, completeness, accuracy, and conciseness.

Purpose of the Study:

To present a novel model for structuring medical progress notes.
To address the need for improved clarity, accuracy, and accountability in clinical documentation.
To outline the principles and rationale behind the proposed progress note model.

Main Methods:

The paper describes a conceptual model for progress notes.
The model focuses on logical flow and accountability of documented information.

Related Experiment Videos

Principles guiding the model's development are discussed.

Main Results:

The proposed model aims to enhance the readability and understandability of patient care documentation.
It ensures a logical conveyance of clinical events during patient encounters.
The model guarantees full accountability for recorded information, including authorship and timestamps.

Conclusions:

The developed model offers a structured approach to progress notes, meeting key documentation requirements.
Implementation of this model can lead to more effective clinical communication and record-keeping.
This standardized approach supports better patient care through improved medical record quality.