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Housestaff, Attendings Disagree on Quality of Progress Notes

Also disagree on the impact of EHR on note quality, but agree on purpose of progress notes

MONDAY, July 13, 2015 (HealthDay News) -- Internal medicine attendings and housestaff disagree on the impact of electronic health records (EHRs) on the quality of progress notes, according to a study published online July 2 in the Journal of Hospital Medicine.

Elizabeth Stewart, M.D., from the University of California in San Francisco, and colleagues examined the perceptions of internal medicine housestaff and attendings on inpatient progress note quality after implementation of an EHR at four academic institutions. Data were included from 99 completed surveys from interns, 155 from residents, and 153 from attendings.

According to the researchers, following EHR implementation, most housestaff responded that the quality of notes was unchanged or better, while attendings believed note quality was unchanged or worse. Across all domains, attendings' perceptions of housestaff notes were significantly lower than housestaff perceptions of their own notes. Most housestaff viewed the EHR efficiency tools "copy forward" and "autopopulation" to be neutral or somewhat positive, while attendings viewed them as neutral or somewhat negative. There was nearly perfect agreement in terms of housestaff and attendings regarding the purpose of the progress note.

"Attendings and housestaff disagree on the current quality of progress notes and the impact of an EHR on note quality, but agree on the purpose of a progress note," the authors write.

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