Documentation of Shared Decisionmaking in the Emergency Department.

Journal: Annals of emergency medicine
PMID: 34340873

Abstract

STUDY OBJECTIVE: While patient-centered communication and shared decisionmaking are increasingly recognized as vital aspects of clinical practice, little is known about their characteristics in real-world emergency department (ED) settings. We constructed a natural language processing tool to identify patient-centered communication as documented in ED notes and to describe visit-level, site-level, and temporal patterns within a large health system.

Authors

  • David Chartash
    Department for Biomedical Informatics and Data Science, Yale School of Medicine, New Haven, CT, United States.
  • Mona Sharifi
    Center for Medical Informatics, Yale University School of Medicine, New Haven, CT; Department of Pediatrics, Yale University School of Medicine, New Haven, CT.
  • Beth Emerson
    Department of Pediatrics, Yale University School of Medicine, New Haven, CT; Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT.
  • Robert Frank
    Department of Linguistics, Yale University, New Haven, CT.
  • Elizabeth M Schoenfeld
    Department of Emergency Medicine, University of Massachusetts Medical School - Baystate Institute for Healthcare Delivery and Population Science, Springfield, MS.
  • Jason Tanner
    Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT.
  • Cynthia Brandt
    Yale Center for Medical Informatics, Yale University.
  • Richard A Taylor
    Emergency Medicine Department, Yale School of Medicine, 464 Congress Avenue, Suite #260, New Haven, CT, 06450, USA. Richard.taylor@yale.edu.

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