@article{IR,
      author = {Rule, Adam and Bedrick, Steven and Chiang, Michael F. and  Hribar, Michelle R.},
      url = {http://digitalcollections.ohsu.edu/record/9251},
      title = {Clinical notes across a decade},
      publisher = {Oregon Health and Science University},
      abstract = {There has been widespread concern that clinical notes have  become "bloated" with redundant or irrelevant text since  the HITECH Act catalyzed adoption of electronic health  records (EHRs) in the United States a decade ago. While  this concept of note bloat has been widely discussed, there  is little evidence on its scope or causes. 
This  retrospective cross-sectional study aims to help fill this  knowledge gap by examining the length and redundancy of  nearly 3 million outpatient progress notes written between  2009 and 2018 by over 6,000 authors across 46 medical  specialties at Oregon Health & Science University.},
      number = {IR},
      doi = {https://doi.org/10.6083/td96k3085},
      recid = {9251},
      address = {2021},
}