Objectives: Intra-organizational communication is mostly interpersonal. Synchronous
interruptive communication is recognized as aprimary source of inefficiency anderror in …

Although administrative data are not originally intended for surveillance purposes, they are
frequently used for monitoring public health and patient safety. This article provides a …

Objectives: This study sought to design and validate a reliable instrument to assess the
quality of physician documentation. Design: Adjectives describing clinician attitudes about …

Objective Despite increased emphasis on systems-based practice through the Accreditation
Council for Graduate Medical Education core competencies, few studies have examined …

Background Previous studies have assessed note quality and the use of electronic medical
record (EMR) as a part of medical training. However, a generalized and user-friendly note …

Methods This pilot study was conducted in 2010 and involved 19 residents in different
specialties (internal medicine, obstetrics and gynecology, and surgery). Guidelines for …

Background The financial success of academic medical centers depends largely on
appropriate billing for resident-patient encounters. Objectives of this study were to develop …

Abstract BACKGROUND AND OBJECTIVES: The financial margins for primary care clinics
and residencies are narrow. It is important that residents bill properly for educational and …

Results: A total of 4693 related studies were extracted from the database and finally 40 main
articles were included in the study. In 4 cases, the level of documentation was reported to be …

Objective Accurate medical documentation is a core competency in medical education and
is critical to successful surgical practice. The following study aims to assess the coding …