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Continuity of Care Document - The Continuity of Care Document (CCD) represents a core data set of the most relevant administrative, demographic, and clinical information facts about a patient's healthcare, covering one or more healthcare encounters. The primary use case for the CCD is to provide a snapshot in time containing the germane ...
Another example is the DART system, organized into Description, Assessment, Response, and Treatment. [2] Documentation of care and treatment is an extremely important part of the treatment process. Progress notes are written by both physicians and nurses to document patient care on a regular interval during a patient's hospitalization.
SBAR is an acronym for Situation, Background, Assessment, Recommendation; a technique that can be used to facilitate prompt and appropriate communication.This communication model has gained popularity in healthcare settings, especially amongst professions such as physicians and nurses.
Computerized physician order entry (CPOE), sometimes referred to as computerized provider order entry or computerized provider order management (CPOM), is a process of electronic entry of medical practitioner instructions for the treatment of patients (particularly hospitalized patients) under his or her care.
An identification wristband given to a patient at Massachusetts General Hospital. A patient tracking system (also called patient identification system ) allows a healthcare provider to log and monitor the progress of a person through the provision of care during their stay there.
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The interventions must be specific to the patient. For example, two patients with the problem 'uncooperative care' can need different directives. For one patient the directive could be: 'educate about the pathology and the effects of the drugs on the health situation'; for the other, it could be the'use a directive approach.'
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