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Academic Journal

Accuracy, thoroughness, and quality of outpatient primary care documentation in the U.S. Department of Veterans Affairs.

  • Authors : Weiner M; Center for Health Information and Communication, Department of Veterans Affairs, Health Services Research and Development Service, Veterans Health Administration, Richard L. Roudebush VA Medical Center, CIN 13 416, Indianapolis, IN, USA. .; Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA. .

Subjects: Primary Health Care*/Primary Health Care*/Primary Health Care*/standards ; United States Department of Veterans Affairs*/United States Department of Veterans Affairs*/United States Department of Veterans Affairs*/organization & administration ; Documentation*/Documentation*/Documentation*/standards

  • Source: BMC primary care [BMC Prim Care] 2024 Jul 18; Vol. 25 (1), pp. 262. Date of Electronic Publication: 2024 Jul 18.Publisher: BioMed Central Ltd Country of Publication: England NLM ID: 9918300889006676 Publication Model: Electronic Cited Medium: Internet ISSN:

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Academic Journal

A human centered design approach to define and measure documentation quality using an EHR virtual simulation.

  • Authors : Kalsy M; Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, United States of America.; Informatics, Decision-Enhancement and Analytic Sciences (IDEAS) Center, George E. Wahlen Veterans Affairs Medical Center, Salt Lake City, Utah, United States of America.

Subjects: Electronic Health Records*/Electronic Health Records*/Electronic Health Records*/standards ; Documentation*/Documentation*/Documentation*/standards; Humans

  • Source: PloS one [PLoS One] 2024 Aug 19; Vol. 19 (8), pp. e0308992. Date of Electronic Publication: 2024 Aug 19 (Print Publication: 2024).Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet

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Academic Journal

Identifying stigmatizing language in clinical documentation: A scoping review of emerging literature.

  • Authors : Barcelona V; Columbia University School of Nursing, New York, New York, United States of America.; Scharp D

Subjects: Electronic Health Records* ; Documentation*; Humans

  • Source: PloS one [PLoS One] 2024 Jun 28; Vol. 19 (6), pp. e0303653. Date of Electronic Publication: 2024 Jun 28 (Print Publication: 2024).Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet

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Academic Journal

The Impact of Diagnosis-Specific Plan Templates on Admission Note Writing Time: A Quality Improvement Initiative.

  • Authors : Rumlow Z; is a PGY-3 Resident, Stead Family Department of Pediatrics, University of Iowa Stead Family Children's Hospital, Iowa City, Iowa, USA.; Almodallal Y

Subjects: Internship and Residency* ; Quality Improvement* ; Electronic Health Records*

  • Source: Journal of graduate medical education [J Grad Med Educ] 2024 Oct; Vol. 16 (5), pp. 581-587. Date of Electronic Publication: 2024 Oct 15.Publisher: Accreditation Council for Graduate Medical Education Country of Publication: United States NLM ID: 101521733 Publication Model: Print-Electronic

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Academic Journal

Time and Note Characteristic Effects of an Electronic Health Record Template for Internal Medicine Resident Notes.

  • Authors : Calder MB; is a PGY-3 Internal Medicine Resident, Department of Internal Medicine, UC Davis Health, Sacramento, California, USA.; Hanson M

Subjects: Internship and Residency* ; Electronic Health Records* ; Internal Medicine*/Internal Medicine*/Internal Medicine*/education

  • Source: Journal of graduate medical education [J Grad Med Educ] 2024 Jun; Vol. 16 (3), pp. 304-307. Date of Electronic Publication: 2024 Jun 13.Publisher: Accreditation Council for Graduate Medical Education Country of Publication: United States NLM ID: 101521733 Publication Model: Print-Electronic

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Academic Journal

Documentation dynamics: Note composition, burden, and physician efficiency.

  • Authors : Apathy NC; National Center for Human Factors in Healthcare, MedStar Health Research Institute, Washington, District of Columbia, USA.; Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, Indiana, USA.

Subjects: Electronic Health Records* ; Physicians* ; Burnout, Professional*

  • Source: Health services research [Health Serv Res] 2023 Jun; Vol. 58 (3), pp. 674-685. Date of Electronic Publication: 2022 Nov 21.Publisher: Blackwell Country of Publication: United States NLM ID: 0053006 Publication Model: Print-Electronic Cited Medium: Internet ISSN:

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Academic Journal

Clinician documentation of patient centered care in the electronic health record.

  • Authors : Butler JM; VA Salt Lake City Health Care System, IDEAS Center of Innovation, George E. Whalen Department of Veterans Affairs Health Care System, 500 Foothill Drive, Salt Lake City, UT, 84148, USA. .; VA Salt Lake City Health Care System, Geriatric Research Education and Clinical Center, George E. Whalen Department of Veterans Affairs Health Care System, 500 Foothill Drive, Salt Lake City, UT, 84148, USA. .

Subjects: Documentation* ; Electronic Health Records*; Humans

  • Source: BMC medical informatics and decision making [BMC Med Inform Decis Mak] 2022 Mar 12; Vol. 22 (1), pp. 65. Date of Electronic Publication: 2022 Mar 12.Publisher: BioMed Central Country of Publication: England NLM ID: 101088682 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6947

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Academic Journal

Low rates of structured advance care planning documentation in electronic health records: results of a single-center observational study.

  • Authors : Wu A; Department of Neurosurgery, Stanford Health Care, 300 Pasteur Drive, Palo Alto, CA, 94304, USA. .; Huang RJ

Subjects: Electronic Health Records* ; Advance Care Planning*; Humans

  • Source: BMC palliative care [BMC Palliat Care] 2022 Nov 22; Vol. 21 (1), pp. 203. Date of Electronic Publication: 2022 Nov 22.Publisher: BioMed Central Country of Publication: England NLM ID: 101088685 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-684X

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