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相关概念视频

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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Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

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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:
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Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

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Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
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Community Based Intervention01:30

Community Based Intervention

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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
41
Strategies for Assessing and Addressing Confounding01:25

Strategies for Assessing and Addressing Confounding

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Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
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Nursing Clinical Information System01:27

Nursing Clinical Information System

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Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
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一种结构化的方法来修改实施方案,同时扩大复杂的基于证据的实践.

Kristina M Cordasco1,2,3, Sonya E Gabrielian1,4,5,6, Jenny Barnard1

  • 1VA Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA.

Health services research
|May 16, 2024
PubMed
概括
此摘要是机器生成的。

实施策略的代修改,如关键时间干预 (CTI),是成功在不同环境中全国范围内扩大基于证据的实践的关键. 这种方法增强了采用和忠诚度.

关键词:
基于证据的实践.卫生服务管理管理卫生服务管理无家可归 没有家可归实施科学 实施科学退伍军人的退伍军人

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科学领域:

  • 实施科学 实施科学
  • 医疗保健管理的管理
  • 公共卫生 公共卫生

背景情况:

  • 基于证据的复杂实践在全国范围内扩展,在不同的社区环境中提出了挑战.
  • 关键时间干预 (CTI) 是一个基于证据的病例管理模式,用于无家可归的经验丰富的退伍军人.
  • 适应实施策略对于成功采用和忠实至关重要.

研究的目的:

  • 描述一个结构化的,代的,数据驱动的方法,在全国范围的扩大过程中修改实施策略.
  • 评估修改对不同机构中CTI模型的采用和忠实性的影响.
  • 为实施方案的中期调整提供一个务实的框架.

主要方法:

  • 在32个退伍军人事务 (VA) 赠款和每日病例管理 (GPD-CM) 机构中使用推广设计进行实用随机评估.
  • 通过与退伍军人,工作人员和临床医生进行半结构化访谈以及定期反思收集定性数据.
  • 快速定性方法和内容分析,以使用"基于证据的实施策略的调整和修改报告框架"来描述修改.

主要成果:

  • 在每次扩展波之后,针对机构特征的变化,在CTI实施包中进行了代修改.
  • 修改包括添加,删除,集成和更改包组件,同时保留核心元素.
  • 这些数据驱动的调整旨在增加CTI在不同环境中的采用和忠实性.

结论:

  • 对实施方案的代,数据驱动的修改对于优化在扩展过程中采用和忠实于复杂的基于证据的实践是有益的.
  • 描述的结构化方法可以指导VA和非VA倡议的中游调整.
  • 同时进行形成性和总结性评估需要仔细考虑扩展项目的权衡.