Related Experiment Video
Updated: Nov 5, 2025
06:28
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.5K
Evaluating the Effectiveness of NoteAid in a Community Hospital Setting: Randomized Trial of Electronic Health Record
John P Lalor1, Wen Hu2, Matthew Tran2
1Department of Information Technology, Analytics, and Operations, Mendoza College of Business, University of Notre Dame, Notre Dame, IN, United States.
Journal of Medical Internet Research
|May 13, 2021
Summary
NoteAid significantly improved electronic health record (EHR) note comprehension in both community hospital patients and Amazon Mechanical Turk (AMT) workers. This intervention is effective for enhancing understanding of medical jargon.
Area of Science:
- Health literacy research
- Medical informatics
- Human-computer interaction
Background:
- Interventions defining medical jargon improve electronic health record (EHR) note comprehension in crowdsourced samples.
- However, crowdsourced participants may not represent the general population or patients with low health literacy.
Purpose of the Study:
- To assess the efficacy of the NoteAid intervention for improving EHR note comprehension in a community hospital setting.
Main Methods:
- 174 participants from a community hospital (Lowell General Hospital) and 200 participants from Amazon Mechanical Turk (AMT) were recruited.
- Participants were randomly assigned to a control group or an intervention group using NoteAid for the ComprehENotes test.
- ComprehENotes is a web-based test designed to measure EHR note comprehension.
Main Results:
- Both community hospital and AMT intervention groups scored significantly higher on the ComprehENotes test than their respective control groups (P<.001).
- Community hospital participants had lower average scores than AMT participants (P<.001), correlating with lower education levels.
- Education level significantly impacted scores among community hospital participants (P<.001).
Conclusions:
- The NoteAid intervention significantly improved EHR note comprehension in both community hospital and AMT samples.
- The findings support the generalizability of the ComprehENotes test.
- NoteAid is an effective tool for enhancing EHR note comprehension across diverse populations.
Keywords:
comprehensioncrowdsourcingefficacyelectronic health recordhealth literacyinformation storage and retrievalinterventionliteracynatural language processingpsychometricsMore Related Videos
Related Concept Videos
01:15Nursing Evaluation
3.8K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.8K
01:30Methods of Documentation VII: EMR
1.2K
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
1.2K
01:08Role of Communication in the Nursing Process III: Evaluation and Documentation
1.7K
A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
1.7K
01:10Documentation of Nursing Diagnosis
1.5K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.5K
01:25Assessment of apical radial pulse
978
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
978
01:21Methods of Documentation III: PIE
1.8K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.8K