Clinical documentation standards--promise or peril?

Hospital Compliance with Clinical Documentation Standards: A Descriptive Study in two Iranian Teaching Hospitals

Background and Objectives: Standard clinical documentation is an integral part of quality patient care. This study aimed to explore compliance of two Iranian teaching hospitals with the clinical documentation standards.   Methods: A total of 400 records were surveyed. Data were collected using a checklist of standard measures. The checklist comprised 15 items selected from relevant guidelines...

Running Head: PROMISE AND PERIL Promise and Peril in Implementing Pay for Performance: A Report on Thirteen Natural Experiments

Promise and peril of clinical decision support: translating medical evidence to the individual patient.

The amount of clinical research available to clinicians today has never been more extensive or complex. By one estimation, almost 2100 scientific publications, 75 clinical trials, and 11 systematic reviews are generated daily. This explosion in information greatly exceeds a clinician’s cognitive ability to integrate the full body of literature when considering a specific clinical situation or p...

Where's the beef? The promise and the reality of clinical documentation.

Physician-generated emergency department clinical documentation (information obtained from clinician observations and summarized decision processes inclusive of all manner of electronic systems capturing, storing, and presenting clinical documentation) serves four purposes: recording of medical care and communication among providers; payment for hospital and physician; legal defense from medica...

Microarray Based Diagnosis Profits from Better Documentation of Gene Expression Signatures

Microarray gene expression signatures hold great promise to improve diagnosis and prognosis of disease. However, current documentation standards of such signatures do not allow for an unambiguous application to study-external patients. This hinders independent evaluation, effectively delaying the use of signatures in clinical practice. Data from eight publicly available clinical microarray stud...