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Tag : Notes

What We’ve Learned about Note-taking in Continuing Education

If we go all the way back (now nearly 6 years ago) to the original Learning Actions research project, one of the first insights gained was that note-taking is a nearly universal behavior that clinician-learners rely on to support their learning process. In fact, from my initial interviews I found

QNOTE: an instrument for measuring the quality of EHR clinical notes

Background and objective The outpatient clinical note documents the clinician's information collection, problem assessment, and patient management, yet there is currently no validated instrument to measure the quality of the electronic clinical note. This study evaluated the validity of the QNOTE instrument, which assesses 12 elements in the clinical note,

MANUSCRIPT: Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research

BACKGROUND: There are no empirically-grounded criteria or tools to define or benchmark the quality of outpatient clinical documentation. Outpatient clinical notes document care, communicate treatment plans and support patient safety, medical education, medico-legal investigations and reimbursement. Accurately describing and assessing quality of clinical documentation is a necessary improvement in an increasingly

RESOURCE: Take Note | An exploration of note-taking in Harvard University Collections

Notes surround us. Whether in the form of lab notebooks, fieldnotes, sketchbooks, class notes, or surreptitious shorthand notes on plays and sermons, notetaking forms the basis of every scholarly discipline as well as of most literate people’s daily lives. Millennia after a potsherd from second-century Egypt, notes remain the lowest

RESOURCE: Note-Taking Seminars at Radcliffe Institute for Advanced Study –

...the conference was more than a celebration of quirky marginalia and academic navel-gazing. The study of notes — whether pasted into commonplace books, inscribed on index cards or scribbled in textbooks — is part of a broader scholarly investigation into the history of reading, a field that has gained ground

MANUSCRIPT: Advancing medicine one research note at a time: the educational value in clinical case reports.

Abstract A case report--a brief written note that describes unique aspects of a clinical case--provides a significant function in medicine given its rapid, succinct, and educational contributions to scientific literature and clinical practice. Despite the growth of, and emphasis on, randomized clinical trials and evidenced-based medicine, case reports continue to provide

ABSTRACT: Implementing an interface terminology for structured clinical documentation

Abstract Clinically oriented interface terminologies support interactions between humans and computer programs that accept structured entry of healthcare information. This manuscript describes efforts over the past decade to introduce an interface terminology called CHISL (Categorical Health Information Structured Lexicon) into clinical practice as part of a computer-based documentation application at Vanderbilt