Clinical documentation: composition or synthesis?

  title={Clinical documentation: composition or synthesis?},
  author={Lena Mamykina and David K. Vawdrey and Peter D. Stetson and Kai Zheng and George Hripcsak},
  journal={Journal of the American Medical Informatics Association : JAMIA},
  volume={19 6},
OBJECTIVE To understand the nature of emerging electronic documentation practices, disconnects between documentation workflows and computing systems designed to support them, and ways to improve the design of electronic documentation systems. MATERIALS AND METHODS Time-and-motion study of resident physicians' note-writing practices using a commercial electronic health record system that includes an electronic documentation module. The study was conducted in the general medicine unit of a… CONTINUE READING
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