Capturing clinical questions during medical residents' workflow
Related Experiment Video
Updated: Jun 28, 2026

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
Published on: September 20, 2018
Herbert Chase1, David Kaufman, Eneida A Mendonça
1Department of Biomedical Informatics, Columbia University, New York, NY, Department of Pediatrics/Computational Institute, University of Chicago, Chicago, IL, USA.
Abstract:
We studied the feasibility of capturing clinical questions in an inpatient setting during workflow by providing five internal medicine residents with digital recorders. We found that most of questions collected were recorded during chart documentation, that possessing the recorder prompted residents to ask more questions than they might have otherwise, and that questions were often asked only after consultation with readily available information sources such as Epocrates. Our results suggest that capturing questions during workflow on a busy hospital ward is feasible and may unmask latent information needs.
Related Concept Videos
Methods of Documentation II: POMR
Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Patient-centered Care
Critical Thinking II
Methods of Documentation IV: Focus Charting
It typically involves three columns for recording information:
Flow Sheet
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation: