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For licensed practitioners, the challenge of detailed, accurate, and timely clinical note-taking can be a significant drain on valuable time and cognitive resources. Even with advanced AI scribes, the output often requires careful refinement to meet specific clinical standards or personal preferences. These precise adjustments within Abridge streamline your workflow and enhance the utility of every patient encounter.

1. Tailor your note export structure — Abridge offers flexible export formats beyond the default, optimizing integration with your EMR or personal review system. This ensures your notes arrive pre-formatted for import or quick scanning.

Try it now: After a recorded encounter, navigate to 'Export' at the top right of the note. Select the 'Custom Layout' option and experiment with 'SOAP', 'H&P', or 'Progress Note' to see how the note reorganizes. Choose the one that best matches your EMR's intake structure.

1. Define a custom vocabulary list — Ensure accurate transcription of specialized medical terms, drug names, or patient-specific jargon that might otherwise be misinterpreted. This reduces post-transcription editing and improves overall accuracy.

Try it now: Go to 'Settings' → 'Customizations' → 'Vocabulary'. Click '+ Add Term' and input unique medical terms or patient-specific phrases. For example, add 'Hydroxychloroquine (HCQ)' or 'Pemphigus Vulgaris' with correct spelling to prevent AI misinterpretations.

1. Specify an exclusion list for sensitive information — Proactively prevent certain conversational elements from appearing in the distilled clinical note, upholding patient privacy and focusing the record on relevant clinical details. This ensures sensitive but non-pertinent information is omitted.

Try it now: In 'Settings' → 'Customizations' → 'Exclusions', add keywords or phrases you consistently wish to omit from notes, such as 'personal financial data' or 'family gossip'. Abridge will then filter these out during note generation.

1. Create a prompt for post-encounter summary refinement — Beyond the automated summary, you can instruct Abridge to re-process the transcript for specific insights or focus areas, such as identifying all discharge instructions or dietary recommendations. This allows for rapid extraction of critical information.

Try it now: After an encounter, in the generated note view, look for the 'Ask Abridge' or 'Refine Note' button (often represented by a chat bubble icon). Type: "Summarize all patient-reported symptoms and their duration, excluding any social history." hit enter.

1. Utilize the 'Highlight & Elaborate' function — Select a key phrase or term within the generated note, and Abridge will provide additional context from the original transcript or elaborate on the medical significance based on its training. This deepens your understanding and ensures no detail is missed.

Try it now: In any generated clinical note, click and drag to select a phrase like "recent onset of vertigo." An option will pop up – click 'Elaborate' to see Abridge provide more detail directly related to that phrase, drawing from the full conversation or its medical knowledge base.

This refines your Protocol layer, ensuring every clinical note is precise and efficient.