Resident Workshop to Improve Inpatient Documentation Using the Progress Note Assessment and Plan Evaluation (PNAPE)...

Area of Science:

• Medical Education
• Clinical Documentation
• Pediatric Residency Training

Background:

• Physicians' varying proficiency in writing inpatient progress notes presents a knowledge gap.
• Effective progress note documentation is crucial for patient care and medical-legal purposes.

Purpose of the Study:

• To evaluate the impact of a 2.5-hour workshop on pediatric residents' knowledge, beliefs, and confidence in writing inpatient progress notes.
• To assess improvements in understanding the purpose and best practices of progress note completion.

Main Methods:

• A workshop intervention was developed using literature review and institutional best practices.
• The Progress Note Assessment and Plan Evaluation (PNAPE) tool was utilized to evaluate sample notes.
• Pre- and post-workshop surveys assessed knowledge and attitudes, with statistical analysis performed.

Main Results:

• A majority of pediatric residents participated in the pre- and post-intervention surveys.
• Significant improvements were observed in the accurate response rate for knowledge-based items.
• Residents reported increased perceptions of note importance and enhanced confidence in their writing skills.

Conclusions:

• A targeted workshop intervention can effectively enhance pediatric residents' understanding of progress note best practices.
• Further research is warranted to assess the long-term impact on knowledge retention, beliefs, and actual note quality.