Structured clinical documentation in the electronic medical record to improve quality and to support practice-based research in epilepsy.

ABSTRACT:

Objective

Using the electronic medical record (EMR) to capture structured clinical data at the point of care would be a practical way to support quality improvement and practice-based research in epilepsy.

Methods

We describe our stepwise process for building structured clinical documentation support tools in the EMR that define best practices in epilepsy, and we describe how we incorporated these toolkits into our clinical workflow.

Results

These tools write notes and capture hundreds of fields of data including several score tests: Generalized Anxiety Disorder-7 items, Neurological Disorders Depression Inventory for Epilepsy, Epworth Sleepiness Scale, Quality of Life in Epilepsy-10 items, Montreal Cognitive Assessment/Short Test of Mental Status, and Medical Researc

SUBMITTER: Narayanan J 

PROVIDER: S-EPMC5245120 | biostudies-literature | 2017 Jan

REPOSITORIES: biostudies-literature