ArticleJournal of hospital medicine2015
The effectiveness of a bundled intervention to improve resident progress notes in an electronic health record.
Article in Journal of hospital medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019Pooled it
- Smarter Documentation: Measuring and Improving the Quality of Progress Notes Written by Hospitalists.Journal of general internal medicine · 2025Trial
- Effect of Outpatient Note Templates on Note Quality: NOTE (Notation Optimization through Template Engineering) Randomized Clinical Trial.Journal of general internal medicine · 2021Trial
- Evaluating Hospital Course Summarization by an Electronic Health Record-Based Large Language Model.JAMA network open · 2025Article
- Addressing Note Bloat: Solutions for Effective Clinical Documentation.Journal of the American College of Emergency Physicians open · 2025Article
- Getting More Out of Clinical Documentation: Can Clinical Dashboards Yield Clinically Useful Information?Administration and policy in mental health · 2024Article
- Copy-Pasting in Patients' Electronic Medical Records (EMRs): Use Judiciously and With Caution.Cureus · 2023Review
- Patterns of Surgical Risk Assessment at a Tertiary Academic Medical Center.The Brown journal of hospital medicine · 2023Article
- Improving Medical Student Inpatient Documentation Through Feedback Using a Note Assessment Tool.Cureus · 2022Article
- Restricted use of copy and paste in electronic health records potentially improves healthcare quality.Medicine · 2022Article
- Frequent but fragmented: use of note templates to document outpatient visits at an academic health center.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Length and Redundancy of Outpatient Progress Notes Across a Decade at an Academic Medical Center.JAMA network open · 2021Article
- The cascade of benzodiazepine prescribing for hospitalized geriatric patients.Journal of community hospital internal medicine perspectives · 2020Article
- Development and Establishment of Initial Validity Evidence for a Novel Tool for Assessing Trainee Admission Notes.Journal of general internal medicine · 2020Article
- Electronic Health Records in Ophthalmology: Source and Method of Documentation.American journal of ophthalmology · 2020Article
- Electronic Health Record Optimization and Clinician Well-Being: A Potential Roadmap Toward Action.NAM perspectives · 2020Review
- Teaching Electronic Health Record Documentation to Medical Students.Journal of graduate medical education · 2017Article
- Design and Hospitalwide Implementation of a Standardized Discharge Summary in an Electronic Health Record.Joint Commission journal on quality and patient safety · 2016Article
- Duly noted: Lessons from a two-site intervention to assess and improve the quality of clinical documentation in the electronic health record.Applied clinical informatics · 2016Article
- The role of copy and paste function in orthopedic trauma progress notes.Journal of clinical orthopaedics and traumaArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
Providers nationally have observed a decline in the quality of documentation after implementing electronic health records (EHRs). In this pilot study, we examined the effectiveness of an intervention bundle designed to improve resident progress notes written in an EHR and to establish the reliability of an audit tool used to evaluate notes. The bundle consisted of establishing note-writing guidelines, developing an aligned note template, and educating interns about the guidelines and using the template. Twenty-five progress notes written by pediatric interns before and after this intervention were examined using an audit tool. Reliability of the tool was evaluated using the intraclass correlation coefficient (ICC). The total score of the audit tool was summarized in terms of means and standard deviation. Individual item responses were summarized using percentages and compared between the pre- and postintervention assessment using the Fisher exact test. The ICC for the audit tool was 0.96 (95% confidence interval: 0.91-0.98). A significant improvement in the total note score and in questions related to note clutter was seen. No significant improvement was seen for questions related to copy-paste. The study suggests that an intervention bundle can lead to some improvements in note writing.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.