Clinical Documentation

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EHR Vendor athenahealth Launches Voice-Driven Tech to Cut Clinician Burnout

by Hannah Nelson

EHR vendor athenahealth has announced the release of athenaOne Voice Assistant Powered by Nuance, a voice-driven application that aims to alleviate clinician burnout and enhance the patient...

Excessive Documentation, Staffing Challenges Driving Clinician Burnout

by Hannah Nelson

Excessive EHR documentation requirements and staffing challenges are significant contributors to clinician burnout, according to an athenahealth survey conducted by the Harris Poll. The findings are...

EHR Documentation of Medical Cannabis Use Lags Patient-Reported Measures

by Hannah Nelson

Asking primary care patients about the use of cannabis to manage health conditions alongside routine cannabis screening may improve EHR documentation of medical cannabis use, according to a study...

EHR Documentation of Pediatric SOGI Data Requires Attention to Privacy

by Hannah Nelson

While EHR documentation of pediatric patients’ sexual orientation and gender identity (SOGI) could help support patient-centered care, stakeholders must ensure patient privacy, according to...

EHR Integration Boosts Inpatient Clinical Documentation of Care Goals

by Hannah Nelson

A patient-facing and clinician-facing communication-priming EHR integration promoted inpatient clinical documentation of care goals for hospitalized patients with serious illnesses, according to a...

NextGen Releases Latest EHR Tool for Behavioral Health, Human Services

by Hannah Nelson

Health IT vendor NextGen Healthcare has announced the newest release of its integrated behavioral health suite, which includes new clinical documentation features and workflow functionality. The...

EHR Documentation Gender Differences Key to Address Clinician Burnout

by Hannah Nelson

Female physicians are at a higher risk for clinician burnout from EHR documentation compared to their male counterparts, according to new research from EHR vendor athenahealth. Researchers analyzed athenahealth de-identified user data for...

Tool Helps Patients Identify Diagnostic Concerns in EHR Notes

by Hannah Nelson

Patients can identify diagnostic safety concerns based on a proactive structured evaluation of EHR notes, according to a study published in JAMIA. Researchers adapted an EHR review tool to enable...

Gender Differences in EHR Use Reveal Clinician Burnout Concerns

by Hannah Nelson

Female physicians spent more time on EHR clinical documentation compared to their male counterparts, according to a study published in JAMA Network Open that raises concern for a gender gap in...

Clinical Note Assessment Tool Boosts Student EHR Documentation Quality

by Hannah Nelson

Clerkship director feedback was more effective than ward resident feedback in improving student EHR documentation quality through the use of a clinical note assessment tool, according to a study...

Epic EHR Optimization Enhances Nursing Clinical Documentation Workflows

by Hannah Nelson

A multi-year Epic EHR optimization project cut clinical documentation time for acute care nurses, resulting in enhanced end-user satisfaction. Complaints from acute care nurses about overly...

Standardized Disability EHR Documentation Could Boost Health Equity

by Hannah Nelson

Standardized EHR documentation of disability status could help drive health equity, according to an article published in HealthAffairs. In February 2014, the Department of Health and Human Services...

Potential Risks, Benefits of Patient Access to EHR Clinical Notes

by Hannah Nelson

Patient access to EHR clinical notes has the potential to improve malpractice liability risks, according to a JAMA Network Open op-ed written by Charlotte Blease, PhD of Beth Israel Deaconess Medical...

Stigmatizing Language in EHR Notes Reveals Implicit Bias Concerns

by Hannah Nelson

EHR notes of Black patients were more likely to contain stigmatizing language compared to those of White patients, according to a study published in JAMA Network Open that raises concerns for implicit...

EHR Notes Reveal Clinical Documentation Implicit Bias Concerns

by Hannah Nelson

Black patients were 2.54 times more likely to have at least one negative descriptor in their EHR notes compared to White patients, according to a study published in Health Affairs that raises concerns...

EHR Documentation Styles May Impact Work Hours, Clinician Burden

by Hannah Nelson

First-year medicine residents who wrote clinical notes in a localized time period during the morning or afternoon spent less time at work, according to a study published in JAMIA. The study suggests...

Data Standards Key for EHR Documentation of Gender Minority Patients

by Hannah Nelson

As healthcare organizations look to sexual orientation and gender identity (SOGI) EHR documentation to improve health equity for gender-minority patients, a lack of national data standards limits data...

Common EHR Data Standards Hinder Health Equity for Deaf Patients

by Hannah Nelson

Current EHR data standards present challenges for identifying deaf and hard-of-hearing (DHH) individuals, according to a study published in JAMIA that raises health equity concerns for care delivery...

Researchers Create Gender-Inclusive HL7 Model, EHR Documentation

by Hannah Nelson

Leveraging health IT data standards through a gender-inclusive HL7 model for EHR documentation could help improve care delivery for gender-marginalized patients and boost health equity, according to a...