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We tried to show the progress note of the patient.
After each clinical reminder is processed, text from the completed reminder dialog box is automatically inserted in the progress note.
Compared to the procedure report, the progress note classified fewer tests as surveillance (13.9% versus 10.0%, P-value = 0.03).
Previous work has described the nature of the progress note dictations [ 15] and early methods for extracting content.
During the patient visit, the scribe modified the progress note and searched for additional medical information at the physician's request.
Clinicians used the ICD9-based diagnostic codes to create the progress note, including the chief complaint and assessment sections.
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Previous studies have shown inconsistent results regarding the progress notes.
In these cases, we extracted all of the progress notes on the day of interest.
First, the progress notes in VistAweb are an imperfect record of the health care encounters.
Duration of restraint episodes was obtained from nursing documentation in the progress notes or the restraint records.
The same opportunity applies to the quality of the admission note and the quality of the progress notes.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com