Evidence map›Paper›PMID 39429901›Full record

ArticleTrauma surgery & acute care open2024

Documentation and coding for trauma and surgical critical care: updates and tips.

Jordan Michael Kirsch, Samir M Fakhry, Andrew Bernard, Gail T Tominaga

Abstract readEditorial
In one paragraph

Article in Trauma surgery & acute care open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Jordan Michael KirschSurgery, Westchester Medical Center, Valhalla, New York, USA.ORCID 0000-0001-8314-1180
Samir M FakhryClinical Services Group, HCA Healthcare, Nashville, Tennessee, USA.ORCID 0000-0002-6781-0863
Andrew BernardSurgery, University of Kentucky Medical Center, Lexington, Kentucky, USA.ORCID 0000-0001-6026-1286
Gail T TominagaSurgery; Trauma Service, Scripps Memorial Hospital La Jolla, La Jolla, California, USA.ORCID 0000-0002-4185-1739

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical documentation is an essential part of medical practice. Medical records serve as a durable testament of care provided and are fundamental to communication among providers. Medical records provide justification and support for healthcare coding and billing for providers and hospitals and also provide evidence in regulatory and legal proceedings. Here, the authors emphasize the importance of clinical documentation in support of both professional and hospital billing and address two areas of recent regulatory changes: Operative coding for hernia operation and professional coding for critical care. The important role of provider documentation in supporting organizational revenue and quality is also discussed.

Indexed as

critical caredocumentationHealth Care Economics And Organizations

Identifiers

PMID39429901
PMCPMC11487825

What OpenQuestion holds

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LicenceCC BY-NC
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.