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Table 1 Inclusion and exclusion criteria for abstract and full-text screening stages of the systematic review

From: Evaluation of interventions to improve electronic health record documentation within the inpatient setting: a protocol for a systematic review

Criteria Included Excluded
Abstract screening
 Study design Original research: observational, experimental, quasi-experimental Letters, editorials, comments, book chapters, systematic reviews
 Outcome EHR documentation Paper documentation
Other studies unrelated to the topic: not looking at EHR nor documentation, animal studies
 Setting Inpatient or acute/care
Single/multi-center
Outpatient, emergency department, clinic
 Intervention Variety of interventions No intervention, only reporting on current documentation quality
Full-text screening
 Study design Original research: observational, experimental, quasi-experimental Letters, editorials, comments, book chapters, systematic reviews
 Outcome EHR documentation Paper documentation
Other studies unrelated to the topic: not looking at EHR nor documentation, animal studies
 Setting Inpatient or acute/care
Single/multi-center
Outpatient, emergency department, clinic, family practice offices, minor/day/dental surgeries
 Intervention Variety of interventions No intervention, only reporting on current documentation quality
 Document type Inpatient electronic records (authors contacted if unclear) EHR implementation on paper-based system (unless study compared paper documentation to at least 2 other arms using electronic documentation)
Not explicitly reporting on “inpatient” or “electronic”
 Participants (EHR user) Nurses, physicians, therapists, diagnostic imaging, pharmacists Primary care providers (family physicians, general practitioners, etc.), researchers, coders, patients, management
 Outcome Improving EHR documentation (see Table 2) Studies using EHR documentation to improve other healthcare service areas (e.g., patient care, healthcare delivery) or improved analytical features within EHR for research purposes.
Clinical outcomes as primary or secondary goal