ArticleApplied clinical informatics2016
The Use of Evidence-Based, Problem-Oriented Templates as a Clinical Decision Support in an Inpatient Electronic Health Record System.
Article in Applied clinical informatics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines 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
- The effects of on-screen, point of care computer reminders on processes and outcomes of care.The Cochrane database of systematic reviews · 2009Pooled it
- Linking clinical documentation deficiencies to insurance reimbursement losses: a data quality perspective.BMC health services research · 2026Article
- Clinicians' rationale for editing ambient AI-drafted clinical notes: persistent challenges and implications for improvement.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Estimating depression severity in narrative clinical notes using large language models.Journal of affective disorders · 2025Article
- Exploring Clinical Decision-Making Competencies of Emergency Nurses in Trauma Care in Indonesia: Qualitative Study.Asian/Pacific Island nursing journal · 2025Article
- The impact of electronic medical records on clinical documentation: A case study.Journal of education and health promotion · 2025Article
- Standardization of Emergency Department Clinical Note Templates: A Retrospective Analysis across an Integrated Health System.Applied clinical informatics · 2024Article
- Use of Epic Electronic Health Record System for Health Care Research: Scoping Review.Journal of medical Internet research · 2023Article
- Identification of Key Elements in Prostate Cancer for Ontology Building via a Multidisciplinary Consensus Agreement.Cancers · 2023Article
- Problem-oriented documentation: design and widespread adoption of a novel toolkit in a commercial electronic health record.JAMIA open · 2023Article
- The Effect of Implementation of Guideline Order Bundles Into a General Admission Order Set on Clinical Practice Guideline Adoption: Quasi-Experimental Study.JMIR medical informatics · 2023Article
- Implementation of a Biopsychosocial History and Physical Exam Template in the Electronic Health Record: Mixed Methods Study.JMIR medical education · 2023Article
- Electronic medical record implementation for a healthcare system caring for homeless people.JAMIA open · 2019Article
- Transfers from intensive care unit to hospital ward: a multicentre textual analysis of physician progress notes.Critical care (London, England) · 2018Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe integration of clinical decision support (CDS) in documentation practices remains limited due to obstacles in provider workflows and design restrictions in electronic health records (EHRs). The use of electronic problem-oriented templates (POTs) as a CDS has been previously discussed but not widely studied.
objectiveWe evaluated the voluntary use of evidence-based POTs as a CDS on documentation practices.
methodsThis was a randomized cohort (before and after) study of Hospitalist Attendings in an Academic Medical Center using EPIC EHRs. Primary Outcome measurement was note quality, assessed by the 9-item Physician Documentation Quality Instrument (PDQI-9). Secondary Outcome measurement was physician efficiency, assessed by the total charting time per note.
resultsUse of POTs increased the quality of note documentation [score 37.5 vs. 39.0, P = 0.0020]. The benefits of POTs scaled with use; the greatest improvement in note quality was found in notes using three or more POTs [score 40.2, P = 0.0262]. There was no significant difference in total charting time [30 minutes vs. 27 minutes, P = 0.42].
conclusionUse of evidence-based and problem-oriented templates is associated with improved note quality without significant change in total charting time. It can be used as an effective CDS during note documentation.
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