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  2. Progress note - Wikipedia

    en.wikipedia.org/wiki/Progress_note

    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.

  3. Attending physician - Wikipedia

    en.wikipedia.org/wiki/Attending_physician

    This is common if the supervision of trainees is a significant part of the physician's work. Attending physicians have final responsibility, legally and otherwise, for patient care, even when many of the minute-to-minute decisions are being made by house officers (residents) or non-physician health-care providers (i.e. physician assistants and ...

  4. SOAP note - Wikipedia

    en.wikipedia.org/wiki/SOAP_note

    Prehospital care providers such as emergency medical technicians may use the same format to communicate patient information to emergency department clinicians. [5] Due to its clear objectives, the SOAP note provides physicians a way to standardize the organization of a patient's information to reduce confusion when patients are seen by various ...

  5. Outpatient department - Wikipedia

    en.wikipedia.org/wiki/Outpatient_department

    An outpatient department or outpatient clinic is the part of a hospital designed for the treatment of outpatients, people with health problems who visit the hospital for diagnosis or treatment, but do not at this time require a bed or to be admitted for overnight care. Modern outpatient departments offer a wide range of treatment services ...

  6. Mid-level practitioner - Wikipedia

    en.wikipedia.org/wiki/Mid-level_practitioner

    Physician Associates (PAs) practising in the United Kingdom is the equivalent title to physician assistant, these clinicians are described as "dependent practitioners", meaning that they require supervision at all times by a physician. They cannot prescribe medications nor can they request tests that use ionising radiation such as X-rays.

  7. Clinical supervision - Wikipedia

    en.wikipedia.org/wiki/Clinical_supervision

    Specific models or approaches to both counselling supervision and clinical supervision come from different historical strands of thinking and beliefs about relationships between people. A few examples are given below. Peter Hawkins (1985 [30]) developed an integrative process model which is used internationally in a variety of helping professions.

  8. Physicians' Desk Reference - Wikipedia

    en.wikipedia.org/wiki/Physicians'_Desk_Reference

    The book was distributed for free to all licensed medical doctors in America; only drugs which drug manufacturers paid to appear, appeared in the PDR, and no generic drugs were listed. The 71st Edition, published in 2017, was the final hardcover edition, weighed in at 4.6 pounds (2.1 kg) and contained information on over 1,000 drugs. [ 1 ]

  9. Computerized physician order entry - Wikipedia

    en.wikipedia.org/wiki/Computerized_physician...

    The application responding to, i.e., performing, a request for services (orders) or producing an observation.The filler can also originate requests for services (new orders), add additional services to existing orders, replace existing orders, put an order on hold, discontinue an order, release a held order, or cancel existing orders.