"progress note" is a correct and usable term in written English.
You can use it when you are discussing a document that serves as a record of an individual's progress towards achieving a set goal. For example, "The doctor wrote a progress note in the patient's file to record her improvement in her physical therapy exercises."
The 10-minute break allowed for writing a progress note and catching one's breath.
We allow a single progress note expand up to five to ten pages.
We hypothesized that a progress note template containing comorbidities and complications would improve documentation and teach residents to correctly document comorbidities and complications.
A half-page, handwritten progress note of the paper era might in a few lines tell you what a physician really thought.
(ii) The order imposing the restriction and a progress note detailing the indications therefor are both entered into the patient's permanent medical record.
CDA is a document markup standard that specifies the structure and semantics of a clinical document (such as a discharge summary or progress note) for the purpose of exchange.
Adoption of limits on resident work hours prompted us to develop a centralized, Web-based computerized rounding and sign-out system (UWCores) that securely stores sign-out information; automatically downloads patient data (vital signs, laboratories); and prints them to rounding, sign-out, and progress note templates.
By the time the first computers were finally installed in exam rooms, my colleagues and I were already fluent enough in the system's software that we were creating and trading order sets, progress note templates and clinical checklists like kids exchanging baseball cards and CDs.
The substance of the patient's instructions must be recorded in a progress note in the patient's health record and must be co-signed by at least two members of the health care team who were present and can attest to the wishes expressed by the patient.
The system replaces the once-per-semester "progress note" with a real-time feedback loop between parents, teachers and students.
Sequential interventions were timed 8-12 wks apart: 1) implementing a new resident daily progress note format; 2) creating a performance improvement "dashboard"; and 3) documenting patients' daily goals on bedside whiteboards.After all interventions, team agreement with the attending physician's stated daily goals increased from 56.9% to 82.7% (p <.0001).
