ArticleJournal of education and health promotion2025
The impact of electronic medical records on clinical documentation: A case study.
Article in Journal of education and health promotion, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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
2 citing papers in PubMed.
- Sustainable quality improvement interventions to ensure adequate physician documentation of chaperone presence in breast clinic: a multicycle clinical audit.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe introduction of electronic medical records (EMRs) has transformed healthcare documentation practices, offering potential improvements in the quality and efficiency of clinical documentation. As EMR adoption becomes more widespread, there is a growing need to understand its impact on clinical documentation practices. This article addresses this gap by presenting a comprehensive case study that examines the influence of EMRs on clinical documentation within a specific healthcare setting. MATERIALS AND
methodsThe researchers developed an EMR system by using various technologies and implemented it in the VIP department of Shahid Madani Hospital at Tabriz University of Medical Sciences. To ensure successful implementation, comprehensive training was provided to department personnel, and necessary equipment was supplied. The impact of the system on clinical documentation processes was evaluated based on AHIMA data characteristics through a comparison of paper and electronic records. Healthcare provider satisfaction was evaluated using an Electronic Health Record End-User Survey questionnaire. Data analysis was conducted using SPSS and Excel.
resultsThe research examined 351 files to assess the effects of introducing EMRs on clinical documentation procedures and user contentment. Findings revealed that EMRs led to an average time saving of 75 minutes in clinical documentation. Moreover, there was a significant enhancement in the quality of documentation, as indicated by the correlation coefficient (
conclusionHigh-quality clinical documentation is essential for patient care, and healthcare professionals must strive for the highest standards. While educational campaigns are somewhat effective, the introduction of EMRs significantly improved clinical documentation standards to 100% in all areas. Customizing the EMR to meet end-user needs and utilizing outcome measures will ensure ongoing improvement in clinical documentation standards.
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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.