List of terms commonly used in clinical trial research. Glossary of Medical Terms in Lay Language Helpful list of medical terms described in lay language. Sample Study Startup Checklist Use this ...
Clinical notes have always been a standard for creating narratives that get claims paid because they support the necessity for the services rendered. "If it isn't written, it didn't happen" still ...
Implementation of standardized electronic documentation of goals of care discussions to improve cancer care.
Electronic Health Records (EHRs) are increasingly recognised as a cornerstone of modern healthcare, with documentation quality playing a critical role in ensuring effective patient care, safety, and ...
Primary care physicians have been observed spending nearly 2 hours on EHR tasks per hour of direct patient care, underscoring how documentation burdens drive bu ...
A Web-based point-and-click EDC known as Brocade was internally developed and implemented systemwide in 2016. Brocade captures key data elements, such as stage, histology, and patient and treatment ...