ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2018
Clinical Documentation in Electronic Health Record Systems: Analysis of Similarity in Progress Notes from Consecutive Outpatient Ophthalmology Encounters.
Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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
12 citing papers in PubMed.
- Evaluating Hospital Course Summarization by an Electronic Health Record-Based Large Language Model.JAMA network open · 2025Article
- Effect of a generative artificial intelligence digital scribe on pediatric provider documentation time, cognitive burden, and burnout.JAMIA open · 2025Article
- Assessing user perspectives on clinical pharmacogenomics consultation documentation: a user-centered evaluation.Frontiers in pharmacology · 2024Article
- The relationship between electronic health records user interface features and data quality of patient clinical information: an integrative review.Journal of the American Medical Informatics Association : JAMIA · 2023Review
- I had not time to make it shorter: an exploratory analysis of how physicians reduce note length and time in notes.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Writing Is Thinking: Implementation and Evaluation of an Internal Medicine Residency Clinical Reasoning and Documentation Curriculum.Medical science educator · 2022Article
- Electronic health record note review in an outpatient specialty clinic: who is looking?JAMIA open · 2021Article
- Multicenter Analysis of Electronic Health Record Use among Ophthalmologists.Ophthalmology · 2021Article
- Clinical Documentation as End-User Programming.Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference · 2020Article
- Electronic Health Records in Ophthalmology: Source and Method of Documentation.American journal of ophthalmology · 2020Article
- Forced Inefficiencies of the Electronic Health Record.Journal of general internal medicine · 2019Article
- Changes in Electronic Health Record Use Time and Documentation over the Course of a Decade.Ophthalmology · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
Content importing technology enables duplication of large amounts of clinical text in electronic health record (EHR) progress notes. It can be difficult to find key sections such as Assessment and Plan in the resulting note. To quantify the extent of text length and duplication, we analyzed average ophthalmology note length and calculated novelty of each major note section (Subjective, Objective, Assessment, Plan, Other). We performed a retrospective chart review of consecutive note pairs and found that the average encounter note was 1182 ± 374 words long and less than a quarter of words changed between visits. The Plan note section had the highest percentage of change, and both the Assessment and Plan sections comprised a small fraction of the full note. Analysis of progress notes by section and unique content helps describe physician documentation activity and inform best practices and EHR design recommendations.
Indexed as
Identifiers
30815175PMC6371381What 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.