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Tytuł pozycji:

Use of Clinical Narratives in Electronic Records: a New Resident Course Using a Writing Group Format.

Tytuł:
Use of Clinical Narratives in Electronic Records: a New Resident Course Using a Writing Group Format.
Autorzy:
Constantino E; Stony Brook University, Stony Brook, NY, USA. .
Vikas R; New York University, New York, NY, USA.
Źródło:
Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry [Acad Psychiatry] 2021 Jun; Vol. 45 (3), pp. 388-392. Date of Electronic Publication: 2021 Mar 30.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Publication: 2014- : New York, NY : Springer
Original Publication: [Washington, DC : American Psychiatric Press, c1989-
MeSH Terms:
Narration*
Writing*
Electronic Health Records ; Electronics ; Humans
References:
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Weis J, Levy P. Copy, paste, and cloned notes in electronic health records. Chest. 2014;145:632–8. (PMID: 10.1378/chest.13-0886)
Siegler E, Adelman R. Copy and paste: a remediable hazard of electronic health records. Am J Med. 2009;122:495–6. (PMID: 10.1016/j.amjmed.2009.02.010)
Schenarts P, Schenarts K. Educational impact of the electronic medical record. J Surg Educ. 2012;69:105–12. (PMID: 10.1016/j.jsurg.2011.10.008)
Moros D. The electronic medical record and the loss of narrative. Camb Q Healthc Ethics. 2017;26:328–31. (PMID: 10.1017/S0963180116000918)
Kuhn T, Basch P, Barr M, Yackel T. Clinical documentation in the 21st century: executive summary of a policy position paper from the American College of Physicians. Ann Intern Med. 2015;162:301–3. (PMID: 10.7326/M14-2128)
Walsh SH. The clinician’s perspective on electronic health records and how they can affect patient care. BMJ. 2004;328:1184–7. (PMID: 10.1136/bmj.328.7449.1184)
Gutheil T, Simon R. Empty words in psychiatric records. Psychiatr Times. 2011;28:16–7.
Accreditation Council for Graduate Medical Education. ACGME Program Requirements for Graduate Medical Education. Revised Common Program Requirements. February 1, 2020: https://www.acgme.org/Portals/0/PFAAssets/ProgramRequirements/CPRResidency2020.pdf _ (Accessed September 25, 2020).
Silverman J, Galanter M, Jackson-Triche M, Jacobs D, Lomax J, Riba M, et al. American Psychiatric Association: practice guidelines for the psychiatric evaluation of adults. 3rd ed. Arlington, VA: American Psychiatric Publishing; 2016.
Han H, Lopp L. Writing and reading in the electronic health record: an entirely new world. Med Educ Online. 2013;18:1–9. (PMID: 10.3402/meo.v18i0.18634)
Johnson S, Bakken S, Dine D, Hyun S, Mendonca E, Morrison F, et al. An electronic health record based on structured narrative. J Am Med Inform Assoc. 2008;15:54–64. (PMID: 10.1197/jamia.M2131)
Hartzband P, Groopman J. Off the record – avoiding pitfalls of going electronic. NEJM. 2008;358:1656–8. (PMID: 10.1056/NEJMp0802221)
Robey T. The art of writing patient record notes. Virtual Mentor. 2011;13(7):482–4. (PMID: 23134798)
Wiebe N, Varela L, Niven D, Ronksley P, Irragori N, Quan H. Evaluations to improve inpatient hospital documentation within electronic health records: a systematic review. J Am Med Inform Assoc. 2019;26(11):1389–400. (PMID: 10.1093/jamia/ocz081)
Coats H, Meek P, Schilling L, Akard T, Doorenbos A. “Connection”: the integration of a person-centered narrative intervention into the electronic health record: an implementation study. J Palliat Med. 2020;23(6):785–91. (PMID: 10.1089/jpm.2019.0376)
Lorenzetti D, Quan H, Lucyk K, Cunningham C, Hennessy D, Jiang J, et al. Strategies for improving physician documentation in the emergency department: a systematic review. BMC Emerg Med. 2018;18(1):36–48. (PMID: 10.1186/s12873-018-0188-z)
Schmidt HG, Mamede S. How to improve the teaching of clinical reasoning: a narrative review and a proposal. Med Educ. 2015;49(10):961–73. (PMID: 10.1111/medu.12775)
Lubarsky S, Dory V, Audétat MC, Custers E, Charlin B. Using script theory to cultivate illness script formation and clinical reasoning in health professions education. Can Med Educ J. 2015;6(2):e61–70. (PMID: 10.36834/cmej.36631)
Entry Date(s):
Date Created: 20210331 Date Completed: 20210625 Latest Revision: 20210625
Update Code:
20240104
DOI:
10.1007/s40596-021-01432-z
PMID:
33786780
Czasopismo naukowe

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