000009251 001__ 9251
000009251 005__ 20240328154653.0
000009251 0247_ $$2DOI$$a10.6083/td96k3085
000009251 037__ $$aIR
000009251 041__ $$aeng
000009251 245__ $$aClinical notes across a decade
000009251 260__ $$bOregon Health and Science University
000009251 269__ $$a2021
000009251 336__ $$aAbstract
000009251 520__ $$aThere has been widespread concern that clinical notes have become "bloated" with redundant or irrelevant text since the HITECH Act catalyzed adoption of electronic health records (EHRs) in the United States a decade ago. While this concept of note bloat has been widely discussed, there is little evidence on its scope or causes. 
This retrospective cross-sectional study aims to help fill this knowledge gap by examining the length and redundancy of nearly 3 million outpatient progress notes written between 2009 and 2018 by over 6,000 authors across 46 medical specialties at Oregon Health & Science University.
000009251 540__ $$fCC BY
000009251 542__ $$fIn copyright - joint owners
000009251 650__ $$aDocumentation$$018012
000009251 650__ $$aElectronic Health Records$$038928
000009251 6531_ $$aclinical notes
000009251 6531_ $$anote bloat
000009251 7001_ $$aRule, Adam$$uOregon Health and Science University$$041354
000009251 7001_ $$aBedrick, Steven$$uOregon Health and Science University$$041354
000009251 7001_ $$aChiang, Michael F.$$uOregon Health and Science University$$041354
000009251 7001_ $$aHribar, Michelle R.$$uOregon Health and Science University$$041354
000009251 711__ $$aResearch Week$$uOregon Health and Science University$$d2021
000009251 8564_ $$90f9f0391-bfd0-4efb-af76-4684497f213a$$s82508$$uhttps://digitalcollections.ohsu.edu/record/9251/files/Rule-Adam-OHSU-ResearchWeek-2021.pdf
000009251 905__ $$a/rest/prod/td/96/k3/08/td96k3085
000009251 980__ $$aResearch Week