Frequent but fragmented: use of note templates to document outpatient visits at an academic health center.
Sign Up to like & getrecommendations! Published in 2021 at "Journal of the American Medical Informatics Association : JAMIA"
DOI: 10.1093/jamia/ocab230
Abstract: Recent changes to billing policy have reduced documentation requirements for outpatient notes, providing an opportunity to rethink documentation workflows. While many providers use templates to write notes-whether to insert short phrases or draft entire notes-we… read more here.
Keywords: academic health; note; frequent fragmented; note templates ... See more keywords
AB1243 Getting a heeadsss in psychosocial screening: use of standardised clinic note templates for psychosocial screening in a paediatric rheumatology clinic
Sign Up to like & getrecommendations! Published in 2018 at "Annals of the Rheumatic Diseases"
DOI: 10.1136/annrheumdis-2018-eular.7395
Abstract: Background Children and adolescents with rheumatic diseases are at risk for psychosocial challenges related to illness, treatment, and normal development and should receive psychosocial screening. Psychosocial assessments have been successfully utilised in other paediatric specialties,… read more here.
Keywords: intervention; psychosocial screening; paediatric rheumatology; note templates ... See more keywords