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We identified 2 randomized trials that tested two different handheld mobile electronic medical records and both found improved documentation with use of handheld computers.
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Whereas before, the time varied based on the developer's own proficiency, the entire implementation process has been shaved down to 20 minutes, with improved documentation as well.
Improved documentation allows any problems with adherence to guidelines to be more easily identified, helping to ensure the safeguarding of patients and staff involved in intimate examinations.
These findings suggest that improved delivery of preventive services in the intervention arm is not accounted for by improved documentation alone or preference for maneuvers with more evidence.
In a separate performance improvement project, however, we had markedly improved documentation of aspirin and beta-blocker use in chest pain patients using a CDSS with a single reminder phrase just above the "ENTER" button of a given HPI template.
Conclusion: The delivery of guidelines through an electronic medical record with background decision support improved documentation, patient care, and patient satisfaction, although effects were heterogeneous across presenting complaints.
Improved documentation of pain teaching within undergraduate medical curricula, with clearly stated teaching content and defined student competencies in pain.
In general, systemically implemented clinical pathways have indicated a beneficial effect, with fewer hospital complications and improved documentation [ 19].
We want to cultivate relationships with our third-party developers and provide improved documentation and developer support.
Results: The Emergency Department Expert Charting System improved documentation rates for all modules.
Improved documentation, it's hoped, will be critical in holding perpetrators to account.
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