Status:
COMPLETED
Adaptation and Validation of a Score From English to Spanish for Evaluating Quality of Clinical Notes
Lead Sponsor:
Hospital Italiano de Buenos Aires
Conditions:
Validation Studies
Cross-Cultural Comparison
Brief Summary
The purpose of this study is to make a Spanish version of a score that evaluates the characteristics of a good quality clinical note for the purpose of physician communication. The score is an instrum...
Detailed Description
Communication between health care providers is an important factor for the continuity of patient care. In the medical records, narrative components, such as clinical notes become important for this pu...
Eligibility Criteria
Inclusion
- Inclusion Criteria:
- For every phase, the clinical notes will be randomly and stratified selected. The clinical notes must belong to patients hospitalized at Internal Medicine area in Hospital Italiano de Buenos Aires (HIBA) without any referral to or from other medical areas. The length of stay expected should be at least three days, and the Electronic Health Record (EHR) has to contain the admission notes, progress notes and discharge summaries.
Exclusion
Key Trial Info
Start Date :
April 1 2013
Trial Type :
OBSERVATIONAL
Allocation :
ACTUAL
End Date :
September 1 2013
Estimated Enrollment :
38 Patients enrolled
Trial Details
Trial ID
NCT01836107
Start Date
April 1 2013
End Date
September 1 2013
Last Update
March 24 2015
Active Locations (1)
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1
Hospital Italiano de Buenos Aires
Buenos Aires, Buenos Aires, Argentina, C1181ACH