Comparison of clinical note quality between an automated digital intake tool and the standard note in the emergency department

The American Journal of Emergency Medicine(2023)

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摘要
Digitally generated clinical notes had moderate agreement compared to standard clinical notes and within the one point clinically significant difference except for the conciseness attribute. Digital notes more reliably documented billing components of severity. The use of automated notes should be further explored to evaluate its utility in facilitating documentation of patient encounters.
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关键词
clinical note quality,standard note,digital
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