作者
Gretchen M Hultman, Jenna L Marquard, Elizabeth Lindemann, Elliot Arsoniadis, Serguei Pakhomov, Genevieve B Melton
发表日期
2019/5
来源
Applied clinical informatics
卷号
10
期号
03
页码范围
446-453
出版商
Georg Thieme Verlag KG
简介
Background High-quality clinical notes are essential to effective clinical communication. However, electronic clinical notes are often long, difficult to review, and contain information that is potentially extraneous or out of date. Additionally, many clinicians write electronic clinical notes using customized templates, resulting in notes with significant variability in structure. There is a need to understand better how clinicians review electronic notes and how note structure variability may impact clinicians' note-reviewing experiences.
Objective This article aims to understand how physicians review electronic clinical notes and what impact section order has on note-reviewing patterns.
Materials and Methods We conducted an experiment utilizing an electronic health record (EHR) system prototype containing four anonymized patient cases, each composed of nine progress notes that were presented with note sections …
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