Documentation

/Tag:Documentation

Analysis of Code Status Discussions and Documentation among a Hospitalist Medicine Group

Background: Hospitalists have an increasing role in caring for patients with advanced illness. Due to time constraints, lack of experience and the sensitivity of the topic, it is challenging for Hospitalists to engage in adequate [...]

By | 2018-03-19T12:58:08+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on Analysis of Code Status Discussions and Documentation among a Hospitalist Medicine Group

DOCUMENTATION DOUBLE PLAY: USING CONTENT AND DATA TOOLS TO MEASURE PROVIDER EFFICIENCY

Background: Electronic health record (EHR) systems are used by a majority of US hospitals. EHR use has been associated with increased task complexity, clinical data volume and provider documentation demands. Studies of multiple specialties suggest [...]

By | 2018-03-19T13:03:22+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Technology in Hospital Medicine|Comments Off on DOCUMENTATION DOUBLE PLAY: USING CONTENT AND DATA TOOLS TO MEASURE PROVIDER EFFICIENCY

Effect of Resident Work Load on Electronic Health Record Documentation

Background: Patient record form one of the most important part of clinical care as the primary source for patient information for primary team, consultants, nurses and other paramedic staff and help in providing a higher [...]

By | 2018-03-19T12:55:15+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Technology in Hospital Medicine|Comments Off on Effect of Resident Work Load on Electronic Health Record Documentation

GOALS OF CARE INFORMATION RARELY DOCUMENTED FOR CRITICALLY ILL PATIENTS, EVEN AFTER A BRIEF EDUCATIONAL INTERVENTION

Background: Internal medicine residents face multiple barriers to participating in and documenting goals of care (GOC) meetings in the intensive care unit (ICU). Barriers include heavy workloads, need for urgent stabilization of critically ill patients, [...]

By | 2018-03-19T13:05:30+00:00 March 19th, 2018|Communication, Hospital Medicine 2018, Research|Comments Off on GOALS OF CARE INFORMATION RARELY DOCUMENTED FOR CRITICALLY ILL PATIENTS, EVEN AFTER A BRIEF EDUCATIONAL INTERVENTION

OPTIMIZING DISCHARGE SUMMARIES: A MULTI-SPECIALTY, MULTI-CENTER SURVEY OF OUTPATIENT PROVIDERS

Background: Hospital discharge is a complex and dangerous process. The emergence and rapid growth of the Hospitalist specialty with the simultaneous decline of traditional practice models complicates discharges. In light of the discontinuity, it is [...]

By | 2019-03-11T14:26:08+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on OPTIMIZING DISCHARGE SUMMARIES: A MULTI-SPECIALTY, MULTI-CENTER SURVEY OF OUTPATIENT PROVIDERS

Resident Progress Note Improvement Via a Standardized Template

Background: The daily progress note is the foundation of inpatient documentation and communication for healthcare providers. With the advent of the electronic medical record, copy-and-pasting, note bloat, inconsistencies, erroneous data, and lack of cognitive processing [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Resident Progress Note Improvement Via a Standardized Template