AI Article Synopsis
- Australian general practitioners face diverse health challenges and effective clinical record-keeping is essential for patient care and clinician decision-making.
- The article highlights a project aimed at improving chlamydia management that involved developing and implementing documentation shortcuts for general practice.
- These shortcuts serve as helpful reminders and efficiency tools for clinicians, enhancing best practices in chlamydia management while complementing rather than replacing their clinical judgment.
Article Abstract
Background: Australian general practitioners encounter a vast array of health issues in their clinical practice. High-quality clinical record keeping is crucial to support continuity of care for patients and decision making for clinicians. Many clinical software programs used in general practice contain shortcut features that allow insertion of pre-stored, editable text into progress notes. These can be used to support documentation of specific health issues.
Objective: Drawing on our experience within a research project seeking to strengthen chlamydia management in general practice, this article describes the co-design, implementation and use of documentation shortcuts for chlamydia management.
Discussion: Shortcuts are useful as a memory prompt and timesaver for general practice clinicians. It is important that they do not replace clinical acumen and judgement. General practices using our chlamydia management shortcuts found them easy to set up, that they acted as a prompt for best practice chlamydia management and that they integrated well with the general practice workflow.
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Source |
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| http://dx.doi.org/10.31128/AJGP-01-24-7112 | DOI Listing |
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