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Documentation

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Natural Language Processing Applied to Clinical Documentation in Post-acute Care Settings: A Scoping Review.

Journal of the American Medical Directors Association
OBJECTIVES: To determine the scope of the application of natural language processing to free-text clinical notes in post-acute care and provide a foundation for future natural language processing-based research in these settings.

ChatGPT's Ability to Assist with Clinical Documentation: A Randomized Controlled Trial.

The Journal of the American Academy of Orthopaedic Surgeons
INTRODUCTION: Clinical documentation is a critical aspect of health care that enables healthcare providers to communicate effectively with each other and maintain accurate patient care records. Artificial intelligence tools, such as chatbots and virt...

Reshaping Wound Care: Evaluation of an Artificial Intelligence App to Improve Wound Assessment and Management.

Studies in health technology and informatics
This study evaluated the usability and effectiveness of an artificial intelligence application for wound assessment and management from a clinician-and-patient perspective. A quasi-experimental design was conducted in four settings in an Australian h...

Advanced Care Planning Content Encoding with Natural Language Processing.

Studies in health technology and informatics
While advanced care planning (ACP) is an essential practice for ensuring patient-centered care, its adoption remains poor and the completeness of its documentation variable. Natural language processing (NLP) approaches hold promise for supporting ACP...

The ChatGPT effect and transforming nursing education with generative AI: Discussion paper.

Nurse education in practice
AIM: The aim of this study is to present the possibilities of nurse education in the use of the Chat Generative Pre-training Transformer (ChatGPT) tool to support the documentation process.

Generative Language Models and Open Notes: Exploring the Promise and Limitations.

JMIR medical education
Patients' online record access (ORA) is growing worldwide. In some countries, including the United States and Sweden, access is advanced with patients obtaining rapid access to their full records on the web including laboratory and test results, list...

Transformer Models in Healthcare: A Survey and Thematic Analysis of Potentials, Shortcomings and Risks.

Journal of medical systems
Large Language Models (LLMs) such as General Pretrained Transformer (GPT) and Bidirectional Encoder Representations from Transformers (BERT), which use transformer model architectures, have significantly advanced artificial intelligence and natural l...

Technology in Medicine: Improving Clinical Documentation.

FP essentials
The association between electronic health record (EHR) documentation and physician burnout is well-known. A combination of insufficient time to complete tasks, clinical documentation burden, and electronic inbox overload comprises the definition of d...

Bolstering Advance Care Planning Measurement Using Natural Language Processing.

Journal of palliative medicine
Despite its growth as a clinical activity and research topic, the complex dynamic nature of advance care planning (ACP) has posed serious challenges for researchers hoping to quantitatively measure it. Methods for measurement have traditionally depen...