ArticleJournal of Brown hospital medicine2026
Provider Perceptions and Analysis of Documentation in Hearing Impaired Patients in the Hospital.
Article in Journal of Brown hospital medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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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Authors and funding
4 authors.
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Abstract
Background: Unaccommodated hearing loss can impede effective communication during hospitalization, contributing to disparities in care and adverse outcomes. Prior research demonstrates unreliable documentation of hearing impairment in the electronic health record (EHR) and limited accommodations. This quality improvement study evaluated the quality of EHR documentation of hearing impairment in hospitalized patients as well as provider perspectives on communication barriers. Methods: We conducted a mix methods study in which we reviewed EHR documentation for patients ≥65 years discharged from Medicine, Geriatrics, and Surgery services between June 2023 and June 2024 at a 1000 bed academic medical center and affiliated community teaching hospital. We also performed a small survey of inpatient medicine providers on perceived barriers to communication with hearing-impaired patients. Results: Among 7,481 encounters, 31.4% had documentation of hearing impairment, primarily from nursing activities of daily living (ADL) screens. Documentation differed across EHR locations and showed limited concordance. Conclusions: Findings highlight inconsistent, unreliable documentation of hearing impairment, limited device availability, and substantial communication barriers, underscoring the need for standardized inpatient screening and support strategies for hospitalized patients with hearing impairment.
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