Concordance Between Electronic Clinical Documentation and Physicians’ Observed Behavior

Author:

Berdahl Carl T.1,Moran Gregory J.2,McBride Owen3,Santini Alexandra M.4,Verzhbinsky Ilya A.56,Schriger David L.7

Affiliation:

1. National Clinician Scholars Program, University of California, Los Angeles

2. Olive View, Department of Emergency Medicine, University of California, Los Angeles

3. Alameda Health System, Department of Emergency Medicine, Highland Hospital, Oakland, California

4. University of California, Santa Cruz

5. University of California, Los Angeles

6. Department of Radiological Sciences, Stanford University, Stanford, California

7. Department of Emergency Medicine, University of California, Los Angeles

Publisher

American Medical Association (AMA)

Subject

General Medicine

Reference19 articles.

1. Are electronic medical records trustworthy? observations on copying, pasting and duplication.;Hammond;AMIA Annu Symp Proc,2003

2. Direct text entry in electronic progress notes: an evaluation of input errors.;Weir;Methods Inf Med,2003

3. Clinical documentation in the 21st century: executive summary of a policy position paper from the American College of Physicians.;Kuhn;Ann Intern Med,2015

4. Medicare program; revisions to payment policies under the Physician Fee Schedule and other revisions to part B for CY 2018; Medicare Shared Savings Program requirements; and Medicare diabetes prevention program: final rule.;Centers for Medicare & Medicaid Services.;Fed Regist,2017

5. Risks and benefits of speech recognition for clinical documentation: a systematic review.;Hodgson;J Am Med Inform Assoc,2016

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