Navigation Links
To dictate or not to dictate?
Date:5/21/2012

BOSTON, MACould the quality of care you receive be affected by how your doctor takes notes? According to a new study by researchers at Brigham and Women's Hospital (BWH), doctors who dictated their patient notes appeared to have worse quality of care than those who used structured documentation.

The study is published online in the Journal of the American Medical Informatics Association.

The researchers evaluated 18,569 visits by 7,000 patients with coronary artery disease and diabetes to participating physicians in a regional healthcare delivery network in eastern Massachusetts. Of these 234 doctors in the study, 20 (9 percent) dictated their notes, 68 (29 percent) used structured documentation, and146 (62 percent) typed free-text notes.

Dictation was done via telephone and transcribed and uploaded to the electronic health record (EHR). Structured documentation involved using templates that divided the patient visit note into separate sections (e.g., history of present illness, review of systems, family history, etc.) for the doctor to fill in. Free-text notes were created using a single window, similar to a word-processing program.

The main outcome measures were 15 coronary artery disease and diabetes measures assessed 30 days after primary care visits.

Compared to the other two documentation styles, quality of care was significantly worse on three outcome measures for dictators. These measures were antiplatelet medication, tobacco use documentation and diabetic eye exam.

Quality of care was better on three measures for doctors who used structured documentation. These measures were blood pressure documentation, body mass index documentation and diabetic foot exam. Doctors who used free-text notes had better quality of care in providing influenza vaccinations.

There was no measure associated with higher quality of care for doctors who dictated their notes.

"Dictating may be easier for the doctor, but patients need to be careful," said Jeffrey Linder, MD, associate professor of medicine at BWH and Harvard Medical School, and lead study author. "Doctors who dictate may not be paying as close attention to information and alerts in the electronic health record that are important for patient health."


'/>"/>
Contact: Marjorie Montemayor-Quellenberg
mmontemayor-quellenberg@partners.org
617-534-2208
Brigham and Women's Hospital
Source:Eurekalert

Related medicine news :

1. Does race dictate quality of care?
2. Does Your Personality Dictate Whether Youll Be Overweight?
3. Socioeconomic status as child dictates response to stress as adult
4. Hormones dictate breeding success in birds
5. Transcription factors may dictate differences between individuals
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/24/2017)... Massapequa Park, NY (PRWEB) , ... May 24, ... ... today announced the practice is offering holistic pediatric dentistry options for its patients ... the context of the patient’s entire physical well being, and is one of ...
(Date:5/24/2017)... ... May 24, 2017 , ... Dymedix® ... diagnostics sensors, announced today it had completed the first phase of building a ... domestic and rest of world (ROW) authorized dealers specializing in polysomnography accessories. ...
(Date:5/23/2017)... Cambridge, MA (PRWEB) , ... May 23, 2017 ... ... compensation claim in North Carolina have remained steady since 2009, according to a ... pre-2009 era. , The study Monitoring the North Carolina System: CompScope™ Benchmarks, ...
(Date:5/23/2017)... ... 23, 2017 , ... The Gallery of Cosmetic Surgery, founded ... to announce a new treatment option called Vivace Microneedling. This treatment option is ... body through a virtually pain-free, non-surgical treatment. Vivace Microneedling combines a state-of-the-art, best-in-class ...
(Date:5/23/2017)... ... 23, 2017 , ... New patients from Charleston, SC, are now welcome to ... Mt. Pleasant, SC, with or without a referral. A full mouth reconstruction can transform ... teeth in Charleston, SC. Those who suffer from gum disease, misaligned teeth or ...
Breaking Medicine News(10 mins):
(Date:5/10/2017)... 10, 2017 Radiology has become the number ... have also spiraled to the number one ranking as ... than ever before as the most complete and reliable ... with lower back pain an MRI may confirm a ... pain, resulting in entirely different treatment protocols.  In these ...
(Date:5/9/2017)... 9, 2017  Semler Scientific, Inc. (OTCQB: SMLR), ... to improve the clinical effectiveness and efficiency of ... first quarter ended March 31, 2017. ... customers to identify when preventive care options are ... like heart attacks or strokes occur," said ...
(Date:5/6/2017)... , May 5, 2017  Hill-Rom Holdings, Inc. ... add approximately 100,000 square feet to its Welch Allyn ... 2016 its commitment to bring more than 100 new ... where Welch Allyn has maintained a significant presence for ... accommodate these new positions, a large portion of which ...
Breaking Medicine Technology: