An electronic documentation system improves the quality of admission notes: a randomized trial
Author(s) -
Trevor Jamieson,
Jonathan Ailon,
Vince Chien,
Ophyr Mourad
Publication year - 2016
Publication title -
journal of the american medical informatics association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.614
H-Index - 150
eISSN - 1527-974X
pISSN - 1067-5027
DOI - 10.1093/jamia/ocw064
Subject(s) - documentation , medicine , quality (philosophy) , electronic database , electronic medical record , medical emergency , computer science , information retrieval , philosophy , epistemology , programming language
There are concerns that structured electronic documentation systems can limit expressivity and encourage long and unreadable notes. We assessed the impact of an electronic clinical documentation system on the quality of admission notes for patients admitted to a general medical unit.
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