Problem Specific Templates for Electronic Hospital Documentation
| Status: | Completed |
|---|---|
| Healthy: | No |
| Age Range: | 18 - 70 |
| Updated: | 5/5/2014 |
| Start Date: | November 2013 |
| End Date: | September 2014 |
| Contact: | Raj Mehta, M.D. |
| Email: | rajking@ufl.edu |
| Phone: | (352) 594-3589 |
The emergence of electronic documentation has led to multiple new challenges for physicians.
Despite positive expectations, many physicians have received electronic health systems with
mixed results. Review of current literature has identified the following reasons for
concern: increased time required for documentation, deteriorating quality of notes,
mindless use of copy-and-paste functions, and fragmentation of clinical work from poorly
designed computing workflows. The study of template use has not been done in a large scale
or with clear outcome measurements. The purpose of this study is to examine the effects of
Problem Specific Templates on quality, accuracy, and efficiency of physician documentation
practices.
Despite positive expectations, many physicians have received electronic health systems with
mixed results. Review of current literature has identified the following reasons for
concern: increased time required for documentation, deteriorating quality of notes,
mindless use of copy-and-paste functions, and fragmentation of clinical work from poorly
designed computing workflows. The study of template use has not been done in a large scale
or with clear outcome measurements. The purpose of this study is to examine the effects of
Problem Specific Templates on quality, accuracy, and efficiency of physician documentation
practices.
This is a prospective cohort study, which will examine the effects of Problem Specific
Templates on quality, accuracy, and efficiency of physician documentation practices. The
Hospitalist physicians will be the subjects. All physicians of the Hospital Medicine
Service will be invited to participate. For the intervention, participating Hospitalists
will be trained on the use of templates for 20 common hospital problems. Once trained, the
Hospitalists will be asked to use these templates for a one-month period. Pre-intervention
and post-intervention medical records will be compared using chart reviews, validated
document assessment instruments, physician surveys, and electronic medical record time
auditing.
Templates on quality, accuracy, and efficiency of physician documentation practices. The
Hospitalist physicians will be the subjects. All physicians of the Hospital Medicine
Service will be invited to participate. For the intervention, participating Hospitalists
will be trained on the use of templates for 20 common hospital problems. Once trained, the
Hospitalists will be asked to use these templates for a one-month period. Pre-intervention
and post-intervention medical records will be compared using chart reviews, validated
document assessment instruments, physician surveys, and electronic medical record time
auditing.
Inclusion Criteria:
- Physicians: All physicians of the Hospital Medicine Service will be invited to
participate
Exclusion Criteria:
- Any invited physicians who refuse to consent
We found this trial at
1
site
University of Florida The University of Florida (UF) is a major, public, comprehensive, land-grant, research...
Click here to add this to my saved trials
