An electronic documentation system improves the quality of admission notes: a randomized trial.
There are concerns that structured electronic documentation systems can limit expressivity and encourage long and unreadable notes. We assessed the impact of an electronic clinical documentation system on the quality of admission notes for patients admitted to a general medical unit.
Author(s): Jamieson, Trevor, Ailon, Jonathan, Chien, Vince, Mourad, Ophyr
DOI: 10.1093/jamia/ocw064