Such a core list could then be incorporated into an electronic medical record template (with branching logic guiding the documentation of conditional items such as chest compressions), thereby facilitating quick and essential documentation, and more importantly, quick retrieval of accurate data through field-defined electronic queries.
Then the user will be guided to the documentation steps at the specific time, with reminders for "forgotten" activities.
The content was more complete because the CDS, depending on the documentation, forced the clinician to document a certain way, guided the clinician, or made documentation easier for the clinician.
There should be clear documentation on the management structure and key personnel of the registry, a description of inclusion or exclusion criteria, a data dictionary, documentation guiding the collection and further processing of data, a data access policy, documentation on confidentiality and ethics issues and copies of all registry publications.
In this article, we discuss how the use of a technique called Latent Semantic Analysis can guide auditors through the documentation to the architectural knowledge they need.
The documentation reiterated the weight control message, and then guided the participant on how to achieve change.
The objective of this study was to identify and validate concepts for an ICNP subset to guide observations and documentation of nursing care for patients with dementia.
Suitable concepts for an ICNP subset to guide observations and documentation of nursing care for patients with dementia were identified.
Results showed that the users appreciated the guide and documentation system, in particular, the database for storing human simulation work.
The goal of this study was to determine the impact of computerized clinical decision support and guided web-based documentation on screening rates for LTBI.
