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Table 2 Measures for “improved inpatient EHR documentation” and their definitions

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

Outcome measure Definition
Medication accuracy The absence of or decline in the number of errors and discrepancies present in the medication record
Document accuracy The absence of or decline in the number of errors and discrepancies present in the EHR document
Completeness The lack or decrease of missing information, as well as the addition of documented items within a medical record
Timeliness A decrease in the time required to complete the document and also a shortening of the turnaround time necessary for the document to be available
Overall quality Variously defined by each study and assessed through mean scores of personalized checklists or quality indicators
Clarity A well-organized, readable, and easily understandable document
Length The decrease in the number of lines or word count
Document capture An increased number of documents created (not included in this review because of lack of data)
User satisfaction Determined by the primary EHR users in surveys that evaluate their opinion on the implementation of the intervention