This was a retrospective analysis of 230,325 clinical notes from 5,285 patients treated with radiotherapy from 2007 to 2019. We compared linguistic features among White versus non-White, low-income ...

To address shortcomings of human scribes (eg, turnover), clinicians are considering digital scribes (DSs). To our knowledge, to date, no study has assessed DS implementation or clinician user ...

Epic is collaborating with Abridge for generative AI for clinical documentation in the EHR. Abridge, a generative AI company for healthcare, summarizes medical conversations and structures them in ...

Documentation issues can cost hospitals millions of dollars per year. While rousing physicians to take a greater initiative in clinical documentation improvement efforts can be a feat in itself, there ...

Over the past 5 years, I worked with HITSP and the HIT Standards Committee to select standards for exchanging clinical summaries. But what exactly is a clinical summary? There is common agreement ...

Most providers associate clinical documentation improvement (CDI) with the transition to ICD-10 coding, however, CDI - a process in which care providers receive feedback from specialists who review ...

Duke Health is the latest health system to partner with Abridge on generative AI for clinical documentation. Duke Health, headquartered in North Carolina, and Abridge signed an enterprise-wide ...

Most clinical documentation and review is still done manually, often by clinical documentation improvement nurses, whose job it is to help patch gaps. This all leads to human errors, and even small ...

Enough has been said about the lack of patient-centricity of the exam room where the doctor sits ensconced next to the computer, dutifully taking notes, as the patient rattles off a list of maladies.

Hospitals and health systems trying to survive and thrive under value-based reimbursement realize that optimal clinical documentation is key to ensuring quality care and optimizing revenue cycle ...

Clinical workflows continue to be a major source of inefficiency and frustration for nurses. Documentation, admissions, and medication reconciliation often remain manual, time-consuming and prone to ...