sábado, 7 de octubre de 2023
The power of written word: reflection reduces errors of omission.
https://psnet.ahrq.gov/issue/power-written-word-reflection-reduces-errors-omission
Accurate and complete clinical documentation is essential to high quality, safe healthcare. In this simulation study, senior medical residents responded to pages regarding sepsis or atrial fibrillation (phone encounter) and documented a brief note regarding the encounter afterwards (documentation encounter). The study found that written documentation following a clinical encounter included more important clinical information (e.g., ordering blood cultures for sepsis, placing a patient on telemetry) compared to what was discussed during the phone encounter.
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