{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T08:10:12Z","timestamp":1789027812186,"version":"build-2803163510"},"reference-count":35,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T00:00:00Z","timestamp":1788566400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T00:00:00Z","timestamp":1788566400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT1182071"],"award-info":[{"award-number":["GNT1182071"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001030","name":"National Heart Foundation of Australia","doi-asserted-by":"publisher","award":["105737"],"award-info":[{"award-number":["105737"]}],"id":[{"id":"10.13039\/501100001030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001030","name":"National Heart Foundation of Australia","doi-asserted-by":"publisher","award":["108106 2024"],"award-info":[{"award-number":["108106 2024"]}],"id":[{"id":"10.13039\/501100001030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIM J"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      Accurate and complete clinical documentation underpins the assignment of International Classification of Disease codes used for epidemiological research, hospital activity based funding, and health service planning.\n                      <jats:bold>Objective:<\/jats:bold>\n                      To develop, implement, and evaluate an education program for clinicians and clinical documentation specialists (CDS) to improve clinical documentation of stroke.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>An education program to improve clinical documentation of stroke was developed by the Australia and New Zealand Stroke Coding Working Group. Eligible participants were clinicians (doctors, nurses, and allied health) and CDS in Australia or New Zealand. The education program comprised 4 modules in a pre-recorded 10-minute educational video. Surveys were administered before and after the educational video to evaluate knowledge (Kirkpatrick level 2) and obtain feedback. Quantitative data were summarised using descriptive statistics. Open-text responses to the feedback survey were analysed using inductive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among 72 eligible participants, 41 (57%) completed the pre- and post-educational knowledge assessment surveys (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200935 clinicians,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20096 CDS). Compared with the pre-education survey, the median number of correct responses significantly increased in the post-education survey (pre: 3 [interquartile range (IQR) 2\u20134]; post: 5 [IQR 4\u20135];\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Most respondents (&gt;90%) were satisfied with the education program, stating it provided \u201cpractical and transferrable knowledge\u201d and that the education was \u201cquick, clear, concise.\u201d\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our education program was associated with an increased knowledge of appropriate clinical documentation of stroke. Ongoing monitoring of clinical coding and clinical documentation is required to ascertain whether the education of the participants translates to improved clinical coding of stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for health information management practice:<\/jats:title>\n                    <jats:p>Accurate and complete clinical documentation directly impacts clinical coding, which in turn affects reimbursement, patient safety, and data quality for epidemiological research, resource allocation, and health policy decision-making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/18333583261453569","type":"journal-article","created":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T07:28:37Z","timestamp":1788593317000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Stroke clinical documentation education program in Australia and New Zealand"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-8989-7876","authenticated-orcid":false,"given":"Catherine","family":"Burns","sequence":"first","affiliation":[{"name":"Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia"},{"name":"Victorian Heart Institute, Monash University, Clayton, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4753-9201","authenticated-orcid":false,"given":"Ailie","family":"Sanders","sequence":"additional","affiliation":[{"name":"Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3223-3330","authenticated-orcid":false,"given":"Anna","family":"Ranta","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Otago, Wellington, New Zealand"},{"name":"Department of Neurology, Wellington Hospital, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justan","family":"Banihashemi","sequence":"additional","affiliation":[{"name":"The Royal Melbourne Hospital, Parkville, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Kouvas","sequence":"additional","affiliation":[{"name":"Northern Health, Epping, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren M.","family":"Sanders","sequence":"additional","affiliation":[{"name":"St Vincent\u2019s Hospital Melbourne, Fitzroy, VIC, Australia"},{"name":"University of Melbourne, Parkville, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8162-682X","authenticated-orcid":false,"given":"Dominique A.","family":"Cadilhac","sequence":"additional","affiliation":[{"name":"Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia"},{"name":"Victorian Heart Institute, Monash University, Clayton, VIC, Australia"},{"name":"Stroke and Critical Care Research Theme, The Florey Institute of Neuroscience and Mental Health, University of Melbourne, Heidelberg, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Moser","sequence":"additional","affiliation":[{"name":"Ministry of Health, St Leonards, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2507-0410","authenticated-orcid":false,"given":"Carla","family":"Read","sequence":"additional","affiliation":[{"name":"Department of Health, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3970-625X","authenticated-orcid":false,"given":"Lee","family":"Nedkoff","sequence":"additional","affiliation":[{"name":"University of Western Australia, Perth, WA, Australia"},{"name":"Victor Chang Cardiac Research Institute, Perth, WA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4070-0533","authenticated-orcid":false,"given":"Muideen T.","family":"Olaiya","sequence":"additional","affiliation":[{"name":"Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia"},{"name":"Victorian 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