Literature DB >> 18604974

Documentation bad habits. Shortcuts in electronic records pose risk.

Chris Dimick1.   

Abstract

Electronic documentation habits such as copy and paste save valuable time, but they can ruin the record.

Mesh:

Year:  2008        PMID: 18604974

Source DB:  PubMed          Journal:  J AHIMA        ISSN: 1060-5487


  6 in total

1.  Association of Medical Directors of Information Systems consensus on inpatient electronic health record documentation.

Authors:  J Shoolin; L Ozeran; C Hamann; W Bria
Journal:  Appl Clin Inform       Date:  2013-06-26       Impact factor: 2.342

2.  Using Electronic Health Records for Quality Measurement and Accountability in Care of the Seriously Ill: Opportunities and Challenges.

Authors:  J Randall Curtis; Seelwan Sathitratanacheewin; Helene Starks; Robert Y Lee; Erin K Kross; Lois Downey; James Sibley; William Lober; Elizabeth T Loggers; James A Fausto; Charlotta Lindvall; Ruth A Engelberg
Journal:  J Palliat Med       Date:  2017-11-28       Impact factor: 2.947

3.  Determination of problematic ICD-9-CM subcategories for further study of coding performance: Delphi method.

Authors:  Xiaoming Zeng; Paul D Bell
Journal:  Perspect Health Inf Manag       Date:  2011-04-01

4.  Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review.

Authors:  Natalie Wiebe; Lucia Otero Varela; Daniel J Niven; Paul E Ronksley; Nicolas Iragorri; Hude Quan
Journal:  J Am Med Inform Assoc       Date:  2019-11-01       Impact factor: 4.497

5.  A Practical Approach for Monitoring the Use of Copy-Paste in Clinical Notes.

Authors:  David K Vawdrey; Casey Cauthorn; Diane Francis; Kathy Hackenberg; Gerald Maloney; Benjamin A Hohmuth
Journal:  AMIA Annu Symp Proc       Date:  2022-02-21

6.  Identification of Semantically Similar Sentences in Clinical Notes: Iterative Intermediate Training Using Multi-Task Learning.

Authors:  Diwakar Mahajan; Ananya Poddar; Jennifer J Liang; Yen-Ting Lin; John M Prager; Parthasarathy Suryanarayanan; Preethi Raghavan; Ching-Huei Tsou
Journal:  JMIR Med Inform       Date:  2020-11-27
  6 in total

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