Clinical Documentation Clinical Trial
Official title:
Notation Optimization Through Template Engineering
This is a randomized non-blinded controlled trial of a standard note template versus a redesigned note template using a simulated patient encounter and the electronic medical record.
Residents documented the simulated patient encounter using one of two templates. The standard template was based on the usual outpatient progress note. The new template placed the assessment and plan section in the beginning, grouped subjective data into the assessment section, and deemphasized elements not related to the current presentation. ;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT05527977 -
Clinical Documentation Physician Compensation Incentives
|
N/A |