Effect of Outpatient Note Templates on Note Quality: NOTE (Notation Optimization through Template Engineering) Randomized Clinical Trial.

ABSTRACT:

Background

This is the first randomized controlled trial evaluating the impact of note template design on note quality using a simulated patient encounter and a validated assessment tool.

Objective

To compare note quality between two different templates using a novel randomized clinical simulation process.

Design

A randomized non-blinded controlled trial of a standard note template versus redesigned template.

Participants

PGY 1-3 IM residents.

Interventions

Residents documented the simulated patient encounter using one of two templates. The standard template was modeled after the usual outpatient progress note. The new template placed the assessment and plan section in the beginning, grouped subjective data into the assessment, and deemphasized less usef

SUBMITTER: Epstein JA 

PROVIDER: S-EPMC7947083 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature