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Table 3 Communication ability notes

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.

  1. *Percentage of communication ability notes.