Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review

N Wiebe, L Otero Varela, DJ Niven… - Journal of the …, 2019 - academic.oup.com
Objective Despite the widespread and increasing use of electronic health records (EHRs),
the quality of EHRs is problematic. Efforts have been made to address reasons for poor EHR …

The impact of structured and standardized documentation on documentation quality; a multicenter, retrospective study

T Ebbers, RB Kool, LE Smeele, R Dirven… - Journal of Medical …, 2022 - Springer
The reuse of healthcare data for various purposes will become increasingly important in the
future. To enable the reuse of clinical data, structured and standardized documentation is …

Physician use of speech recognition versus typing in clinical documentation: A controlled observational study

SV Blackley, VD Schubert, FR Goss, W Al Assad… - International Journal of …, 2020 - Elsevier
Importance Speech recognition (SR) is increasingly used directly by clinicians for electronic
health record (EHR) documentation. Its usability and effect on quality and efficiency versus …

[HTML][HTML] Simulation of patient flow in multiple healthcare units using process and data mining techniques for model identification

SV Kovalchuk, AA Funkner, OG Metsker… - Journal of biomedical …, 2018 - Elsevier
Introduction An approach to building a hybrid simulation of patient flow is introduced with a
combination of data-driven methods for automation of model identification. The approach is …

Clinical natural language processing in 2014: foundational methods supporting efficient healthcare

A Névéol, P Zweigenbaum - Yearbook of Medical Informatics, 2015 - thieme-connect.com
Objective: To summarize recent research and present a selection of the best papers
published in 2014 in the field of clinical Natural Language Processing (NLP). Method: A …

[PDF][PDF] VecoCare: Visit Sequences-Clinical Notes Joint Learning for Diagnosis Prediction in Healthcare Data.

Y Xu, K Yang, C Zhang, P Zou, Z Wang, H Ding, J Zhao… - IJCAI, 2023 - ijcai.org
Due to the insufficiency of electronic health records (EHR) data utilized in practical diagnosis
prediction scenarios, most works are devoted to learning powerful patient representations …

Electronic health records improve clinical note quality

HB Burke, LL Sessums, A Hoang… - Journal of the …, 2015 - academic.oup.com
Background and objective The clinical note documents the clinician's information collection,
problem assessment, clinical management, and its used for administrative purposes …

Development and validation of a machine learning model for automated assessment of resident clinical reasoning documentation

V Schaye, B Guzman, J Burk-Rafel, M Marin… - Journal of General …, 2022 - Springer
Background Residents receive infrequent feedback on their clinical reasoning (CR)
documentation. While machine learning (ML) and natural language processing (NLP) have …

[HTML][HTML] Assessing the ability of a large language model to score free-text medical student clinical notes: Quantitative study

HB Burke, A Hoang, JO Lopreiato, H King… - JMIR Medical …, 2024 - mededu.jmir.org
Background Teaching medical students the skills required to acquire, interpret, apply, and
communicate clinical information is an integral part of medical education. A crucial aspect of …

An electronic documentation system improves the quality of admission notes: a randomized trial

T Jamieson, J Ailon, V Chien… - Journal of the American …, 2017 - academic.oup.com
Objective: There are concerns that structured electronic documentation systems can limit
expressivity and encourage long and unreadable notes. We assessed the impact of an …