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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

Enhancing medical students' documentation skills: the impact of an assessment and feedback program.

  • Authors : Ji YA; Gyeongsang National University College of Medicine, Jinju, Korea.; Gyeongsang Institute of Health Sciences, Jinju, Korea.

Subjects: Students, Medical* ; Documentation*/Documentation*/Documentation*/standards ; Education, Medical, Undergraduate*/Education, Medical, Undergraduate*/Education, Medical, Undergraduate*/methods

  • Source: Korean journal of medical education [Korean J Med Educ] 2024 Sep; Vol. 36 (3), pp. 335-340. Date of Electronic Publication: 2024 Aug 29.Publisher: Korean Society of Medical Education Country of Publication: Korea (South) NLM ID: 101503071 Publication Model: Print-Electronic Cited Medium:

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Academic Journal

Improving Athletic Trainers' Knowledge of Clinical Documentation Through Novel Educational Interventions: A Randomized Controlled Trial.

  • Authors : Kasamatsu TM; Department of Kinesiology, Athletic Training Program, California State University, Fullerton.; Nottingham SL

Subjects: Documentation*; Humans ; Adult

  • Source: Journal of athletic training [J Athl Train] 2024 Sep 01; Vol. 59 (9), pp. 969-978.Publisher: National Athletic Trainers' Association Country of Publication: United States NLM ID: 9301647 Publication Model: Print Cited Medium: Internet

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Academic Journal

Improving the systematic screening and documentation of mental capacity for patients with severe brain injury: The Mental Capacity Screening assessment tool (MCScreen).

  • Authors : Turner-Stokes L; Department of Palliative Care, Policy and Rehabilitation, Faculty of Nursing, Midwifery and Palliative Care, King's College London, UK; Regional Hyper-acute Rehabilitation Unit, London North-West University Hospitals Trust, UK. Electronic address: .

Subjects: Mental Competency* ; Documentation* ; Brain Injuries*/Brain Injuries*/Brain Injuries*/diagnosis

  • Source: Clinical medicine (London, England) [Clin Med (Lond)] 2024 Sep; Vol. 24 (5), pp. 100236. Date of Electronic Publication: 2024 Aug 20.Publisher: The College Country of Publication: England NLM ID: 101092853 Publication Model: Print-Electronic Cited Medium: Internet ISSN:

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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 New Method for Documenting Sign Language Productions in Schools.

  • Authors : West E; Department of Audiology and Speech Pathology, The University of Melbourne, Parkville, Victoria, Australia.; Dettman S

Subjects: Sign Language* ; Documentation*/Documentation*/Documentation*/methods ; Documentation*/Documentation*/Documentation*/standards

  • Source: Language, speech, and hearing services in schools [Lang Speech Hear Serv Sch] 2024 Jul; Vol. 55 (3), pp. 994-1001. Date of Electronic Publication: 2024 Jun 06.Publisher: American Speech and Hearing Assn Country of Publication: United States NLM ID: 0323431 Publication Model: Print-Electronic Cited Medium:

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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

Athletic Trainers' Perceptions of and Experiences With Professional Development Approaches for Enhancing Clinical Documentation.

  • Authors : Nottingham SL; Athletic Training Program, Department of Health, Exercise, and Sports Sciences, University of New Mexico, Albuquerque.; Kasamatsu TM

Subjects: Documentation* ; Qualitative Research*; Humans

  • Source: Journal of athletic training [J Athl Train] 2024 Aug 01; Vol. 59 (8), pp. 857-867.Publisher: National Athletic Trainers' Association Country of Publication: United States NLM ID: 9301647 Publication Model: Print 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

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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