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The Patient-Reported Outcomes Measurement Information System [1] ( PROMIS) provides clinicians and researchers access to reliable, valid, and flexible measures of health status that assess physical, mental, and social well–being from the patient perspective. PROMIS measures are standardized, allowing for assessment of many patient-reported ...
A medical record includes a variety of types of "notes" entered over time by healthcare professionals, recording observations and administration of drugs and therapies, orders for the administration of drugs and therapies, test results, X-rays, reports, etc. The maintenance of complete and accurate medical records is a requirement of health ...
A patient-reported outcome ( PRO) is a health outcome directly reported by the patient who experienced it. It stands in contrast to an outcome reported by someone else, such as a physician -reported outcome, a nurse -reported outcome, and so on. PRO methods, such as questionnaires, are used in clinical trials or other clinical settings, to help ...
A written record of the history, treatment, care, and response of the client while under the care of a health care provider. A guide for reimbursement of care costs. Evidence of care in a court of law. A legal record that can be used as evidence of events that occurred or treatments given. Show the use of the nursing process.
The Doctor of Nursing Practice (DNP) is a professional degree in nursing in the United States of America. In the United States, the DNP is one of three doctorate degrees in nursing, the other two being the research degree PhD and the Doctor of Nursing Science. [1] The DNP program may include clinical/residency hours as well as a final scholarly ...
A nurse practitioner ( NP) is an advanced practice registered nurse and a type of mid-level practitioner. [1] [2] NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, prescribe medications and formulate treatment plans. NP training covers basic disease prevention, coordination of care ...
Primary care involves the widest scope of health care, including all ages of patients, patients of all socioeconomic and geographic origins, patients seeking to maintain optimal health, and patients with all types of acute and chronic physical, mental and social health issues, including multiple chronic diseases. Consequently, a primary care ...
The patient's health record is a legal document that contains details regarding patient's care and progress. [3] The types of information captured during the clinical point of care documentation include the actions taken by clinical staff including physicians and nurses, and the patient's healthcare needs, goals, diagnosis and the type of care ...
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