Journal article
The Impact of Diagnosis-Specific Plan Templates on Admission Note Writing Time: A Quality Improvement Initiative
Journal of graduate medical education, Vol.16(5), pp.581-587
10/2024
DOI: 10.4300/JGME-D-24-00087.1
PMCID: PMC11475446
PMID: 39416400
Abstract
There are limited objective studies regarding the effectiveness of strategies to alleviate the documentation burden on resident physicians.
To develop and implement diagnosis-specific templates for the plan of care section of inpatient admission notes, aiming to reduce documentation time.
Twelve templates for the plan of care section of admission notes were written by the study authors, reviewed by attending physicians, and shared with the residents through the electronic health record (EHR) on September 23, 2022. EHR audit log data were collected to examine admission note writing times, supplemented by resident feedback on acceptability via an anonymous survey. Feasibility measures included time investment, experience with the EHR, and resident training.
Between July 1, 2021 and June 30, 2023, 62 pediatric residents contributed 9840 admission notes. The templates were used in 557 admission notes. The mean total time spent on an admission note decreased from 97.9 minutes pre-intervention to 71.0 minutes post-intervention with the use of a template; an adjusted reduction of 23% (95% CI 16%-30%;
<.001). The mean attending time spent editing an admission note was unchanged. The survey results underscored wide acceptability of the templates among the residents. Feasibility data showed that the project required minimal time investment from the health care informatics team and minimal resident training.
Using templates in the care plan section of admission notes reduces the time residents spend writing admission notes.
Details
- Title: Subtitle
- The Impact of Diagnosis-Specific Plan Templates on Admission Note Writing Time: A Quality Improvement Initiative
- Creators
- Zachary Rumlow - University of Iowa Stead Family Children’s HospitalYahya Almodallal - University of Iowa Stead Family Children’s HospitalM Bridget Zimmerman - University of IowaRebecca Miner - University of IowaRachel Asbury - University of IowaLindsey A Knake - University of IowaAnna Schmitz - University of Iowa Stead Family Children’s Hospital
- Resource Type
- Journal article
- Publication Details
- Journal of graduate medical education, Vol.16(5), pp.581-587
- DOI
- 10.4300/JGME-D-24-00087.1
- PMID
- 39416400
- PMCID
- PMC11475446
- NLM abbreviation
- J Grad Med Educ
- ISSN
- 1949-8349
- eISSN
- 1949-8357
- Language
- English
- Date published
- 10/2024
- Academic Unit
- Stead Family Department of Pediatrics; Biostatistics; Neonatology; Hospital Medicine
- Record Identifier
- 9984736739202771
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