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The communication of goals of care between the provider and patient and then how the conversations are documented in the electronic medical system. The study assesses if a template in the provider note would improve documentation. This study shows the importance of having a goals-of-care discussion with the patient and documenting the goals of care in the electronic medical record. The study explains the continuity of care from one clinician to another if documentation contains the goals of care.
The study was in a singular medical system in North Carolina, it was not expanded enough to apply to the general population.
Recommendations regarding potential application for future practice that are insightful and appropriate.
First, it is important to have a goal of care discussion with the patient, second, documenting the goals of care in the electronic medical record will assist other healthcare providers to understand the discussions that have already occurred.
Have to write if this an agreeable article ,refernce less than 5 years