Method of electronic health record documentation and quality of primary care

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Method of electronic health record documentation and quality of primary care

OBJECTIVE Physicians who more intensively interact with electronic health records (EHRs) through their documentation style may pay greater attention to coded fields and clinical decision support and thus may deliver higher quality care. We measured the quality of care of physicians who used three predominating EHR documentation styles: dictation, structured documentation, and free text. METHO...

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In response to: Method of electronic health record documentation and quality of primary care

We read with interest the article by Linder, Schnipper, and Middleton comparing dictation, free-text typing, and structured data entry to quality outcomes. The authors conclude that using dictation appeared to provide a lower quality of care, but that conclusion seems unsupported by the reported results. Most importantly, the authors themselves note that most of the differences found were not a...

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PURPOSE Oncology quality measures provide an important tool to evaluate care received by cancer patients. These measures are frequently addressed by oncology nurse practitioners (NPs). NP documentation of quality oncology practice initiative (QOPI) measures in the electronic health record (EHR) is evaluated in this study. DATA SOURCES NP documentation of specific QOPI measures before and afte...

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Improved quality and comprehensiveness in nursing documentation of pressure ulcers after implementing an electronic health record in hospital care.

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ژورنال

عنوان ژورنال: Journal of the American Medical Informatics Association

سال: 2012

ISSN: 1067-5027,1527-974X

DOI: 10.1136/amiajnl-2011-000788