From: Silence in the EHR: infrequent documentation of aphonia in the electronic health record
Category | Outpatient notes (n = 340) | Inpatient notes (n = 840) | Example |
---|---|---|---|
Description | 196 (58%*) | 459 (55%*) | Patient unable to speak. |
Method | 169 (50%*) | 436 (52%*) | Communicates by writing. |
Medical management | 67 (20%*) | 49 (6%*) | We discussed the placement of tracheoesophageal puncture. |
Referral | 43 (13%*) | 74 (9%*) | Speech pathology was consulted regarding speech rehabilitation. |