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Accuracy, thoroughness, and quality of outpatient primary care documentation in the U.S. Department of Veterans Affairs.
BMC Prim Care
July 2024
Center for Health Information and Communication, Department of Veterans Affairs, Health Services Research and Development Service, Veterans Health Administration, Richard L. Roudebush VA Medical Center, CIN 13 416, Indianapolis, IN, USA.
Background: Electronic health records (EHRs) can accelerate documentation and may enhance details of notes, or complicate documentation and introduce errors. Comprehensive assessment of documentation quality requires comparing documentation to what transpires during the clinical encounter itself. We assessed outpatient primary care notes and corresponding recorded encounters to determine accuracy, thoroughness, and several additional key measures of documentation quality.
View Article and Find Full Text PDFA new season for experimental neuroembryology: The mysterious history of Marian Lydia Shorey.
Endeavour
December 2019
Department of Philosophy and Educational Sciences, University of Turin, via S. Ottavio 20 - 10124 Turin, Italy. Electronic address:
At the turn of the nineteenth and twentieth centuries, the landscape of emerging experimental embryology in the United States was dominated by the Canadian Frank Rattray Lillie, who combined his qualities as scientist and director with those of teacher at the University of Chicago. In the context of his research on chick development, he encouraged the young Marian Lydia Shorey to investigate the interactions between the central nervous system and the peripheral structures. The results were published in two papers which marked the beginning of a new branch of embryology, namely neuroembryology.
View Article and Find Full Text PDF"Do You Know What I Know?": How Communication Norms and Recipient Design Shape the Content and Effectiveness of Patient Handoffs.
J Gen Intern Med
February 2019
VA HSR&D Center for Health Information and Communication, Roudebush VAMC, Indianapolis, USA.
Background: Poor communication during end-of-shift transfers of care (handoffs) is associated with safety risks and patient harm. Despite the common perception that handoffs are largely a one-way transfer of information, researchers have documented that they are complex interactions, guided by implicit social norms and mental frameworks.
Objectives: We investigated communication strategies that resident physicians report deploying to tailor information during face-to-face handoffs that are often based on their implicit inferences about the perceived information needs and potential harm to patients.
Content counts, but context makes the difference in developing expertise: a qualitative study of how residents learn end of shift handoffs.
BMC Med Educ
November 2018
VA HSR&D Center for Health Information and Communication, Roudebush VAMC, Indianapolis, USA.
Background: Handoff education is both formal and informal and varies widely across medical school and residency training programs. Despite many efforts to improve clinical handoffs, little evidence has shown meaningful improvement. The objective of this study was to identify residents' perspectives and develop a deeper understanding on the necessary training to conduct safe and effective patient handoffs.
View Article and Find Full Text PDF"Workin' on Our Night Moves": How Residents Prepare for Shift Handoffs.
Jt Comm J Qual Patient Saf
August 2018
Background: Poor-quality handoffs have been associated with serious patient consequences. Researchers and educators have answered the call with efforts to increase system safety and resilience by supporting handoffs using increased communication standardization. The focus on strategies for formalizing the content and delivery of patient handoffs has considerable intuitive appeal; however, broader conceptual framing is required to both improve the process and develop and implement effective measures of handoff quality.
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