case report for patient that is not yours

What do you need to know about patient case reports?

Patient case reports are valuable resources of new and unusual information that may lead to vital research. Patient case reports are valuable resources of new and unusual information that may lead to vital research. How to write a patient case report Am J Health Syst Pharm.

What is a case report in medical ethics?

A case report is the first effort for many doctors, and other health professionals to convey a message to the entire medical profession by the means of specialized journal and remain essential to the art of medicine.[2]

What is a case report in psychology?

A case report is a descriptive study that documents an unusual clinical phenomenon in a single patient. It describes in details the patient’s history, signs, symptoms, test results, diagnosis, prognosis and treatment.

Are case reports inferior to clinical trials?

Case reports have been described as being inferior and the weakest level of clinical evidence. While it is true that a journal case report cannot supersede the power of a clinical trial for the evidence based data it generates, the case report still has an important role to play in the medical literature.

Can you publish a case report without consent?

Consent is certainly required under a confidentiality analysis for the publication of case reports that contain any identifiable information.

How do you write a case report to a patient?

III. Patient case presentationDescribe the case in a narrative form.Provide patient demographics (age, sex, height, weight, race, occupation).Avoid patient identifiers (date of birth, initials).Describe the patient's complaint.List the patient's present illness.List the patient's medical history.More items...•

What qualifies as a case report?

A case report is a detailed report of the symptoms, signs, diagnosis, treatment, and follow-up of an individual patient. Case reports usually describe an unusual or novel occurrence and as such, remain one of the cornerstones of medical progress and provide many new ideas in medicine.

Does case report require informed consent?

Don't publish a case report without the patient's consent As explained above, informed patient consent is mandatory for the publication of your case reports. Ignoring this requirement can result in a rejection for your work and worse, ruin your relationship and reputation with patients.

How do you start a report?

The first section you start writing in your report is always a summary or introduction. This should stretch across just one or two pages to give your reader a brief glimpse into what your results or findings are.

How do you write a client case history?

How to Write a Marketing Case Study that Lands You More ClientsDefine the type of clients you want to attract. ... Gather information and data points. ... Outline your case study. ... Be Human. ... Provide actionable advice. ... Write Clearly and Succinctly (Avoid industry jargon!) ... Publish and promote.

Can medical students write case reports?

Case reports are written with the goal of sharing information for medical, scientific, or educational purposes. They often serve as medical or even undergraduate students' first experience with medical writing and they provide a solid foundation for manuscript preparation and publication.

What is the difference between a case study and a case report?

Case studies are widely used in psychology to provide insight into unusual conditions. A case study, also known as a case report, is an in depth or intensive study of a single individual or specific group, while a case series is a grouping of similar case studies / case reports together.

Do case reports require ethical approval?

Case reports and studies intended for quality improvement are often considered not research and do not need IRB approval. Nevertheless, there should be some processes of clearing those studies with respect to ethical handling of patients and related data.

Does a case report count as a publication?

Case reports have now been developed and accepted as a scholarly publication to disseminate knowledge to a wide medical audience.

Where can I publish a case report?

Where to Publish Case ReportsElsevier Journal Finder.Edanz Journal Selector.EndNote Manuscript Matcher.Springer.

What is required to submit a case report?

Journals often have specific requirements for publishing case reports, which could include a requirement for informed consent, a letter or statement from the IRB and other things.

What should I do after writing a case report?

Once you have written a draft of the case report, you should seek feedback on your writing, from experts in the field if possible, or from those who have written case reports before .

Why is it important to write a case report?

the reason you would go to the trouble of writing one, is that the case is sufficiently unique, rare or interesting such that other medical professionals will learn something from it.

Do I need IRB approval for case reports?

If this is true for your case report, then it most likely does not require IRB approval because it not considered research. If you have more than one patient, your study could qualify as a Case Series, which would require IRB review. If you have questions, you chould check your local IRB's guidelines on reviewing case reports.

Does CHM have funding for publication?

It is best practice to check the journal's Info for Authors section or Author Center to determine what the cost is to publish. CHM does NOT have funds to support publication costs, so this is an important step if you do not want to pay out of pocket for publishing.

Is it free to publish a case report?

Be aware that it may not be free to publish your case report. Many journals charge publication fees. Of note, many open access journals charge author fees of thousands of dollars. Other journals have smaller page charges (i.e. $60 per page), and still others will publish for free, with an "open access option".

Do you need informed consent for a case report?

Although not technically required, especially if the case report does not include any identifying information, some journals require informed consent for all case reports. The CARE guidelines recommend obtaining informed consent AND the patient's perspective on the treatment/outcome (if possible).

What to ask for in a case report?

It is often best to ask for informed consent and the patient’s perspective before you begin writing your case report. Appendices (If indicated). Submission to a scientific journal. Follow author guidelines and journal submission requirements when writing and submitting your case report to a scientific journal.

Do you need informed consent for a journal?

The patient should provide informed consent (including a patient perspective) and the author should provide this information if requested. Some journals have consent forms which must be used regardless of informed consents you have obtained. Rarely, additional approval (e.g., IRB or ethics commission) may be needed.

Why is a case report important?

Case reports have been described as being inferior and the weakest level of clinical evidence. While it is true that a journal case report cannot supersede the power of a clinical trial for the evidence based data it generates, the case report still has an important role to play in the medical literature. Case reports serve the function of proposing new hypotheses and sharing clinical observations that can then become the focus of a larger scientific study. Writing a report about a rare disease may be the primary way to publicize it, as small patient numbers would make it unlikely that such a disease would ever be part of a clinical trial or other research investigation. Learning how to write a case report is a skill that early stage researchers may need to acquire. The format of the case report is specific to the requirements of the target journal that, so it is important that the authors first consult the chosen journal’s instructions for authors before starting to draft the article.

What do you do after consent is obtained?

Once the patient’s consent is obtained, authors need to decide on a journal to submit the case report to. Authors must ensure to choose a journal whose target audience is likely to be interested in the case being reported. Once the decision is made, authors must read the journal’s guidelines to ensure that the case report format meets ...

Why is it important to adhere to the case report format prescribed by the journal?

It is also important to obtain required patient consent and to follow the guidelines specified by the respective institutional review board. Drafting case reports. Leave a comment.

What should authors refer to in case reports?

Authors should also refer to the more recent case reports published in the journal. This will help authors get an idea about the style that is expected and the types of case reports the journal tends to publish. Once that has been done, the next logical step is to focus on drafting the case report sections.

How many words should an abstract be?

Abstract. The abstract is usually less than 300 words and summarizes the contents of the case report. The title and abstract are used to index your case report in order to facilitate literature search. It is advisable to refer to the journal’s instructions to structure the abstract accordingly.

Why do you write a title after a case report?

Authors may choose to write the title after the rest of the report to ensure it reflects the tone of the predominant issue in the case report.

How many references should be included in a case report?

Extensive literature review should be avoided. In most cases, journals limit the references associated with a case report to no more than 15 papers.

What Is a Patient Care Report?

We often hear of care reports based on by medical teams or by medical authorities. Yet, we are not sure how this differs from the kind of report that is given to us by the same people. So this is the time to make it as clear as possible.

How to Write a Patient Care Report?

Where do you even begin when you write a patient care report? A lot of EMS or EMTs do know how to write one since they are trained to do so.

What is a patient care report?

A patient care report is a document made mostly by the EMS or EMTs. This documented report is done after getting the call. This consists of the information necessary for the assessment and evaluation of a patient’s care.

What should not be written in a patient care report?

What should be avoided in a patient care report is making up the information that is not true to the patient. This is why you have to be very careful and very meticulous when writing these kinds of reports. Every detail counts.

Who is in charge of reading the patient care report?

The person or the people who will be reading the report are mostly medical authorities. When you are going to be passing this kind of report, make sure that you have all the information correctly. One wrong information can cause a lot of issues and problems.

What is PHI in healthcare?

This is known as safe harbor de-identification.

What is a case report?

A case report is an unsystematic clinical observation that states the outcome or response of a single patient to a diagnostic strategy or treatment . Case reports serve to document and share novel cases amongst the medical community for educational purposes.

When safe harbor de-identification is not possible or the opportunity to identify the patient exists, even after de-ident

When safe harbor de-identification is not possible or the opportunity to identify the patient exists, even after de-identification, the expert determination method for de-identification can be considered. For purposes of de-identification, an expert is defined as: A person with appropriate knowledge of and experience with generally accepted statistical and scientific principles and methods for rendering information not individually identifiable:

When case reports describe or discuss unique or rare circumstances, as they often do, it may be difficult or impossible to answer

When case reports describe or discuss unique or rare circumstances, as they often do, it may be difficult or impossible to de-identify those cases such that there is no reasonable expectation that the individuals included can be identified, so patient authorization generally would be required.

Is PHI de-identified under HIPAA?

It is important to understand that determining whether data are de-identified under HIPAA is a more restrictive determination than determining whether private information is individually identifiable under the Common Rule. The HIPAA rule considers PHI as any information that may identify an individual; was created or received by a member of a HIPAA covered entity; and relates to the individual's past, present, or future physical/mental health or condition, health care, or payment for health care. HIPAA recognizes two methods for de-identification of data.

Advantages of Case Reports

Limitations of Case Reports

Real-World Examples of Case Reports

• Example 1: Normal plasma cholesterol in an 88-year-old man who eats 25 eggs a day
  This is the case of an old man with Alzheimer’s disease who has been eating 20-30 eggs every day for almost 15 years. [Source] The man had an LDL-cholesterol level of only 142 mg/dL (3.68 mmol/L) and no significant clinical atherosclerosis (deposition of cholesterol in arterial walls)! H…
• Example 2: Recovery from the passage of an iron bar through the head
  This is an interesting case of a construction foreman named Phineas Gage. [Source] In 1848, due to an explosion at work, an iron bar passed through his head destroying a large portion of his brain’s frontal lobe. He survived the event and the injury only affected 1 thing: His personality! Af…

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