2021-09-21

BBHR: Bloat Busters #03 - Clinical Note Provenance

Building a Better Health Record (BBHR)
Bloat Busters #3 - Where did a note's content come from?

Our Bloat Busters series can help clinicians prevent "note bloat", a digital health record affliction that decreases the signal-to-noise ratio of clinical documentation and frustrates clinical decision-makers. 

Clinicians reviewing the clinical documentation of others may not always appreciate who authored the parts used to assemble the note, or how those parts were generated. It can be important to know, for example, that content was facilitated by text automations (e.g., SmartPhrases).  

There is a documentation tool that helps! 

When a documentation object (e.g., progress note) is open for review, look to the top right of the note display to find a hovering option menu with checkboxes for "Hide copied text" and "Hover for details":


Select the "Hover for details" checkbox, position the pointer over a piece of text and note how blocks of text are highlighted with a superimposed descriptor indicating how the text was generated, by whom and when. The personalization icon can be used to have this feature persistently enabled.

No comments:

Post a Comment

Please feel free to contribute to discussion by posting comments here. For general suggestions, please use the link in the column to the right.