SynthesisBMC emergency medicine2018
Strategies for improving physician documentation in the emergency department: a systematic review.
Synthesis in BMC emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 104 citations in OpenAlex.
- A theory-based meta-regression of factors influencing clinical decision support adoption and implementation.Journal of the American Medical Informatics Association : JAMIA · 2021Pooled it
- Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019Pooled it
- Digital informed consent for urological surgery - randomized controlled study comparing multimedia-supported vs. traditional paper-based informed consent concerning satisfaction, anxiety, information gain and time efficiency.Prostate cancer and prostatic diseases · 2024Trial
- The inter-rater reliability of the TEDNQ for evaluating emergency department note quality.CJEM · 2026Article
- Optimizing clinical documentation in virtual hospitals: a task-technology fit perspective.JAMIA open · 2026Article
- Automated chain-of-thought evaluation framework for large language model-generated emergency department documentation: a simulation-based study.Clinical and experimental emergency medicine · 2026Article
- The use of hybrid training in record documentation standards to improve medical record documentation in emergency departments: A quasiexperimental study.Journal of education and health promotion · 2026Article
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- A fiscally sound, evidenced-based solution to conquering the complexity of physician billing guidelines: A physician-centric note template.Health information management : journal of the Health Information Management Association of Australia · 2025Article
- Positivity rates and subsequent patient dispositions after utilisation of cervical spine imaging referral guidelines in Singapore.Insights into imaging · 2025Article
- Technological barriers to providing pediatric mental and behavioral healthcare in emergency departments.Applied ergonomics · 2025Observational
- The Incidence of Scabies in Far North Queensland, Tropical Australia: Implications for Local Clinical Practice and Public Health Strategies.Tropical medicine and infectious disease · 2025Article
- Patterns in Symptoms Preceding Acute Care in Patients With Cancer.JAMA network open · 2025Article
- Addressing Note Bloat: Solutions for Effective Clinical Documentation.Journal of the American College of Emergency Physicians open · 2025Article
- Acute Asthma Management in a Tertiary Hospital in Oman.Oman medical journal · 2024Article
- Development of strategies to enhance recordkeeping during intrapartum care in Limpopo province: A Delphi technique.Health SA = SA Gesondheid · 2024Article
- Randomized controlled trial of tailored audit with feedback in VHA long-term care settings.Implementation science communications · 2023Article
- Best practices for documentation of psychotropic drug-drug interactions in an adult psychiatric clinic.The mental health clinician · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
backgroundPhysician chart documentation can facilitate patient care decisions, reduce treatment errors, and inform health system planning and resource allocation activities. Although accurate and complete patient chart data supports quality and continuity of patient care, physician documentation often varies in terms of timeliness, legibility, clarity and completeness. While many educational and other approaches have been implemented in hospital settings, the extent to which these interventions can improve the quality of documentation in emergency departments (EDs) is unknown.
methodsWe conducted a systematic review to assess the effectiveness of approaches to improve ED physician documentation. Peer reviewed electronic databases, grey literature sources, and reference lists of included studies were searched to March 2015. Studies were included if they reported on outcomes associated with interventions designed to enhance the quality of physician documentation.
resultsNineteen studies were identified that report on the effectiveness of interventions to improve physician documentation in EDs. Interventions included audit/feedback, dictation, education, facilitation, reminders, templates, and multi-interventions. While ten studies found that audit/feedback, dictation, pharmacist facilitation, reminders, templates, and multi-pronged approaches did improve the quality of physician documentation across multiple outcome measures, the remaining nine studies reported mixed results.
conclusionsPromising approaches to improving physician documentation in emergency department settings include audit/feedback, reminders, templates, and multi-pronged education interventions. Future research should focus on exploring the impact of implementing these interventions in EDs with and without emergency medical record systems (EMRs), and investigating the potential of emerging technologies, including EMR-based machine-learning, to promote improvements in the quality of ED documentation.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.