Clinical Documentation Quality

Clinical Documentation Quality is a comprehensive evaluative construct that assesses the accuracy, completeness, consistency, timeliness, and adherence to clinical and regulatory standards of patient health information recorded in structured and unstructured medical records within the context of clinical document standards.

106

Publications

5.1K

Citations

456

Authors

206

Institutions

Publications per year

2017–2026

Parents

Clinical Document Standards

Publications

106

Intelligent Clinical Documentation: Harnessing Generative AI for Patient-Centric Clinical Note Generation

Anjanava Biswas, Wrick Talukdar · International Journal of Innovative Science and Research Technology (IJISRT) · 2024 · 1K citations · Full text

Computing, Computer Science, Health Informatics +14

Clinical Documentation in the 21st Century: Executive Summary of a Policy Position Paper From the American College of Physicians

Thomson Kuhn, Peter Basch, Michael S. Barr et al. · Annals of Internal Medicine · 2015 · 259 citations

Computing, Health Informatics, Clinical Informatics +10

The evolution of mobile apps for asthma: an updated systematic assessment of content and tools

Kit Huckvale, Cecily Morrison, Jing Ouyang et al. · BMC Medicine · 2015 · 177 citations · Full text

Computing, Health Behavior, Health Informatics +16

Prevalence of accurate nursing documentation in patient records

Wolter Paans, Walter Sermeus, Roos Nieweg et al. · Journal of Advanced Nursing · 2010 · 149 citations

Education, Advanced Practice Nursing, Documentation +15

Evaluating Emergency Nurse Practitioner services: a randomized controlled trial

Mark Cooper, Grace Lindsay, Sue Kinn et al. · Journal of Advanced Nursing · 2002 · 133 citations

Medicine, Emergency Medical Services, Emergency Medicine +11

1–5 of 106

Authors

456

PM
Pamela M. Neri
Brigham and Women's Hospital, United States
2 publications · 72 citations
2
h-index
AR
Azad Rahmani
Tabriz University of Medical Sciences, Iran
2 publications · 35 citations
2
h-index
LA
Lynn A. Volk
Mass General Brigham, United States
2 publications · 72 citations
2
h-index
MJ
Madineh Jasemi
Urmia University, Iran
2 publications · 35 citations
2
h-index
AP
Amanda Pedersen
Salford Royal NHS Foundation Trust, United Kingdom
1 publications · 36 citations
1
h-index

1–5 of 456

Institutions

206

1–8 of 206

Venues

PubMed
Repository · 5 publications · 158 citations
5
h-index
Journal of the American Medical Informatics Association
JAMIA · 5 publications · 226 citations
5
h-index
BMC Health Services Research
3 publications · 151 citations
3
h-index
BMJ Quality Improvement Reports
3 publications · 42 citations
3
h-index
Applied Clinical Informatics
ACI · 3 publications · 67 citations
3
h-index

1–5