ArticleApplied clinical informatics2022
Disappearing Help Text: Implementing a Note-Based Tool for In-Line Clinical Decision Support and Note Bloat Reduction.
Article in Applied clinical informatics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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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.
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Who cites it
9 citing papers in PubMed, 15 citations in OpenAlex.
- Disappearing Text as a Clinical Decision Support Layer: A Case Series.Applied clinical informatics · 2025Article
- Does autotext usage decrease documentation time among resident physicians? A retrospective analysis of electronic health record usage data.JAMIA open · 2025Article
- The digital health landscape at children's hospitals in Canada.Paediatrics & child health · 2025Article
- Optimizing Resident Charge Capture with Disappearing Help Text in Note Templates.Applied clinical informatics · 2025Article
- Assessing the quality of AI-generated clinical notes: validated evaluation of a large language model ambient scribe.Frontiers in artificial intelligence · 2025Article
- Standardization of Emergency Department Clinical Note Templates: A Retrospective Analysis across an Integrated Health System.Applied clinical informatics · 2024Article
- Increasing Chlamydia and Gonorrhea Testing for Adolescents in the Pediatric Emergency Department.Pediatrics · 2024Article
- User-Centered Design and Evaluation of Clinical Decision Support to Improve Early Peanut Introduction: Formative Study.JMIR formative research · 2023Article
- Advances in Clinical Decision Support Systems: Contributions from the 2022 Literature.Yearbook of medical informatics · 2023Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe authors describe a novel solution to the challenges of lengthy notes and poor note readability by creating an unobtrusive clinical decision support tool named "disappearing help text."
methodsWe designed this tool in Pediatric Hospital Medicine (PHM) note templates to provide in-line decision support on best documentation practices, note bloat reduction, billing compliance, and provider workflow enhancement.
resultsAfter template changes that utilized disappearing help text, we reduced the percent of notes utilizing any laboratory SmartLink from 90.2 to 15.3% for admission notes ( DISCUSSION: Note template changes that utilized disappearing help text significantly reduced the length of both progress and admission notes, a proxy for note bloat reduction, without negatively impacting coding query frequency or internal billing audit performance. One factor that likely contributed to this reduction in note length is the reduced usage of laboratory SmartLinks prompted by disappearing help text.
conclusionWe present the use of in-line disappearing help text embedded into note templates as a clinical decision support tool to improve note readability, educate trainees on note documentation, and protect confidential teen information. Help text implementation correlated with a reduction in the automatic insertion of laboratories into notes and a decrease in note character count.
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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.