Electronic Health Record Documentation Patterns of Recorded Primary Care Visits Focused on Complex Communication: A Qualitative Study.
In a time-constrained clinical environment, physicians cannot feasibly document all aspects of an office visit in the electronic health record (EHR). This is especially true for patients with multiple chronic conditions requiring complex clinical reasoning. It is unclear how physicians prioritize the documentation of health information in the EHR.
Author(s): Prater, Laura, Sanchez, Anthony, Modan, Gabriella, Burgess, Jennifer, Frier, Kim, Richards, Nathan, Bose-Brill, Seuli
DOI: 10.1055/s-0039-1683986