ArticleBMC medical education2024
Enhancing the timeliness of EMR documentation in resident doctors: the role of PDCA cycle management.
Article in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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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.
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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
3 citing papers in PubMed.
- Time Burden of Electronic Medical Records on Nurses and Physicians in Saudi Arabia: Occurrence, Predictors, and Challenges-A Mixed-Methods Study.Healthcare (Basel, Switzerland) · 2026Article
- Enhancing Medical Record Quality in Psychiatric Care Through PDCA Cycle Management.Risk management and healthcare policy · 2026Article
- Enhancing hand hygiene compliance in healthcare settings: a long time intervention study.Frontiers in public health · 2025Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe impact of the Plan-Do-Check-Act (PDCA) cycle in improving the timeliness of electronic medical record documentation (EMRd) remains uncertain. EMRd that is completed beyond the specified time is classified as late EMRd, while unqualified EMRd refers to electronic medical records with important sections that are not completed on time according to the Chinese Basic Norms of Medical Records Writing. This study aimed to evaluate the effectiveness of PDCA management in improving the timeliness of EMRd among resident doctors.
methodThis study utilized a before and after design. Resident doctors rotating in the Head and Neck Oncology Department of West China Hospital, Sichuan University, from November 2021 to August 2022 were classified as the control group and did not receive specific training on the timeliness of EMRd. Those rotating from September 2022 to June 2023 were assigned to the PDCA group, which was managed using the PDCA cycle. The effectiveness of PDCA cycle management was evaluated by comparing the incidence of late EMRd and unqualified EMRd between two groups. Univariate and multivariate binary logistic regression analyses were conducted tocontrol for confounding factors.
resultsA total of 245 resident doctors were included, with 162 doctors in the PDCA group and 152 doctors in the control group. The incidences of late EMRd (5.40% vs. 2.56%, P = 0.005) and unqualified EMRd (1.05% vs. 0.00%, P < 0.001) were significantly lower in the PDCA group than those in the control group. After adjusting confounding factors, PDCA management still significantly reduced the occurrence of unqualified EMRd (P < 0.001) with an adjusted odds ratio (OR) of 0.166 (95% CI 0.067-0.416) and late EMRd (P < 0.001) with an adjusted OR of 0.318 (95% CI 0.181-0.557).
conclusionThis study successfully developed PDCA management and demonstrated its effectiveness in improving the timeliness of EMRd while concurrently reducing the incidence of unqualified and late entries among resident doctors.
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