Evidence map›Paper›PMID 40125339›Full record

ArticleJournal of the American College of Emergency Physicians open2025

Humanistic Charting: Empowering Person-centered Emergency Care Through Reimagining the Electronic Health Record.

Christopher Montgomery, Namrata Garg, Natasha Gonzalez, Elizabeth Raby, Susan Landon, Christopher Peabody, Nicholas Stark

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

7 authors.

Christopher MontgomeryDepartment of Emergency Medicine, University of California, Los Angeles, CA, USA.
Namrata GargDepartment of Emergency Medicine, University of California, San Francisco, CA, USA.
Natasha GonzalezSchool of Medicine, University of California, San Francisco, CA, USA.
Elizabeth RabySchool of Medicine, University of California, San Francisco, CA, USA.
Susan LandonPenn Medicine, University of Pennsylvania Health System, Philadelphia, PA, USA.
Christopher PeabodyDepartment of Emergency Medicine, University of California, San Francisco, CA, USA.
Nicholas StarkDepartment of Emergency Medicine, University of California, San Francisco, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The rise in health care standardization has increased the focus on documentation, subsequently leading to the depersonalization of patient care. Humanistic Charting attempts to enhance person-centered care (PCC) by streamlining the integration of a patient's narrative into the electronic health record (EHR), while reducing a clinician's administrative workload. The Humanistic Charting Tool (HCT) transitions the collection and documentation of person-centric data to patients, empowering them to convey their values, preferences, and individuality. Methods: We carried out a pilot study in an academic emergency department (ED) at the University of California, San Francisco, between February and April 2023, involving 6 clinicians and 29 adult patients using the HCT. Clinicians reviewed HCT entries prior to patient encounters. The feasibility and impact of HCT were assessed using surveys and interviews pre- and postuse. The statistical significance of patient and clinician responses was assessed with 2-sided paired t tests. Results: The HCT was met with high patient satisfaction, with notable improvements in patient-rated care experience metrics post-HCT implementation, such as respect for patient preferences and clinician availability. The HCT received excellent Net Promoter Scores from both patients (52) and clinicians (83). Clinicians observed that the HCT promoted a humanistic care approach and helped alleviate burnout. Conclusions: In this pilot study, the HCT has demonstrated encouraging feasibility and promise in helping enhance PCC within the challenging ED environment. Clinicians have noted its advantages in providing deeper insights into patient histories and improving the quality of interactions, having the potential to aid in counteracting biases. This pilot study demonstrates the HCT's potential to help foster humanism and PCC in emergency settings and supports the potential for broader applicability in health care systems.

Indexed as

clinician well-beingemergency departmenthealth recordhumanistic charting toolpatient care experiencepatient–physician connectionperson-centered care

Identifiers

PMID40125339
PMCPMC11928849

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.