Evidence map›Paper›PMID 38222343›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2023

Identifying Reuse and Redundancies in Respiratory Flowsheet Documentation: Implications for Clinician Documentation Burden.

Jennifer Withall, Mai Tran, Bobby Schroeder, Rachel Lee, Amanda Moy, Syed Mohtashim Abbas Bokhari, Kenrick Cato, Sarah Rossetti

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. EHR Documentation Frequency Changes Across the COVID-19 Pandemic.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jennifer WithallColumbia University, School of Nursing, New York, NY.
Mai TranColumbia University, Department of Biomedical Informatics, New York, NY.
Bobby SchroederNewYork-Presbyterian Hospital, Weill Cornell Medical Center, New York, NY.
Rachel LeeColumbia University, School of Nursing, New York, NY.
Amanda MoyColumbia University, Department of Biomedical Informatics, New York, NY.
Syed Mohtashim Abbas BokhariColumbia University, Department of Biomedical Informatics, New York, NY.
Kenrick CatoColumbia University, School of Nursing, New York, NY.
Sarah RossettiColumbia University, School of Nursing, New York, NY.

Funding

Training in Biomedical Informatics at Columbia UniversityT15LM007079 · NLM · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI NOEMIE ELHADAD, GEORGE M HRIPCSAK · 1992 to 2026
$28.9M
Reducing Health Disparities Through Informatics - Genomics SupplementT32NR007969 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SUZANNE BAKKEN, Rebecca Schnall · 2002 to 2026
$7.9M
Communicating Narrative Concerns Entered by RNs (CONCERN)R01NR016941 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Kenrick Dwain Cato, Sarah Collins Rossetti · 2017 to 2026
$6.7M
AHRQ HHS R01 HS028454NINR NIH HHS R01 NR016941NINR NIH HHS T32 NR007969NLM NIH HHS T15 LM007079
6 · The paper itself

Abstract

Documentation burden is experienced by clinical end-users of the electronic health record. Flowsheet measure reuse and clinical concept redundancy are two contributors to documentation burden. In this paper, we described nursing flowsheet documentation hierarchy and frequency of use for one month from two hospitals in our health system. We examined respiratory care management documentation in greater detail. We found 59 instances of reuse of respiratory care flowsheet measure fields over two or more templates and groups, and 5 instances of clinical concept redundancy. Flowsheet measure fields for physical assessment observations and measurements were the most frequently documented and most reused, whereas respiratory intervention documentation was less frequently reused. Further research should investigate the relationship between flowsheet measure reuse and redundancy and EHR information overload and documentation burden.

Indexed as

DocumentationNursing RecordsElectronic Health RecordsHumans

Identifiers

PMID38222343
PMCPMC10785890

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.