Question

EHRs help with clinical documentation improvement due to the following:

I. It can prompt physicians for additional information
II. Natural language processing can allow for more effective documentation in less time
III. Computer interfaces can provide physicians with decision support tools improving patient care

Answer 1

EHRs help with clinical documentation improvement through prompts for additional information, natural language processing for more effective documentation, and decision support tools for improved patient care.

Step-by-step explanation:

EHRs, or electronic health records, can help with clinical documentation improvement in several ways:

1. They can prompt physicians for additional information: EHRs can include fields or prompts that require physicians to provide complete and accurate documentation. For example, when ordering a medication, the EHR may require the physician to specify the dosage and frequency, ensuring that important details are not overlooked.
2. Natural language processing can allow for more effective documentation in less time: EHRs often utilize natural language processing algorithms that automatically extract relevant information from free-text clinical notes. This can save physicians time and effort in documenting patient encounters.
3. Computer interfaces can provide physicians with decision support tools improving patient care: EHRs can integrate clinical decision support tools, such as alerts and reminders, that can help physicians make evidence-based decisions. For example, if a physician is prescribing a medication that may interact with another medication the patient is taking, the EHR can provide an alert to prevent potential harm.