There is increasing recognition that documentation burden can lead to clinician burnout, and new federal legislation is aimed at developing strategies to reduce documentation burden. This additional input can lead to increasing documentation burden, especially when some of these requirements are redundant or not relevant to the clinical narrative, and can have the effect of blurring the understanding of the purpose of a note.
Interventions on paper were much less invasive (education or reminders that could be avoided) and likely less effective at changing documentation behavior. For example, electronic documentation tools can remind or even require (required fields, forced fields, or hard stops) an author to include specific items in his or her documentation.
In addition, nonclinical stakeholders may have a more direct influence on the design and content of clinical documentation. One downside with electronic documentation is that providers may be overwhelmed with large amounts of textual and tabular data.
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