{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T17:07:24Z","timestamp":1790874444978,"version":"4.1.0"},"reference-count":29,"publisher":"Department of Medicine, Warren Alpert Medical School at Brown University","issue":"4","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec id=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Unaccommodated hearing loss can impede effective communication during hospitalization, contributing to disparities in care and adverse outcomes. Prior research demonstrates unreliable documentation of hearing impairment in the electronic health record (EHR) and limited accommodations. This quality improvement study evaluated the quality of EHR documentation of hearing impairment in hospitalized patients as well as provider perspectives on communication barriers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a mix methods study in which we reviewed EHR documentation for patients \u226565 years discharged from Medicine, Geriatrics, and Surgery services between June 2023 and June 2024 at a 1000 bed academic medical center and affiliated community teaching hospital. We also performed a small survey of inpatient medicine providers on perceived barriers to communication with hearing-impaired patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 7,481 encounters, 31.4% had documentation of hearing impairment, primarily from nursing activities of daily living (ADL) screens. Documentation differed across EHR locations and showed limited concordance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings highlight inconsistent, unreliable documentation of hearing impairment, limited device availability, and substantial communication barriers, underscoring the need for standardized inpatient screening and support strategies for hospitalized patients with hearing impairment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.56305\/001c.171832","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T16:52:48Z","timestamp":1790873568000},"source":"Crossref","is-referenced-by-count":0,"title":["Provider Perceptions and Analysis of Documentation in Hearing Impaired Patients in the Hospital"],"prefix":"10.56305","volume":"5","author":[{"given":"Brian","family":"Wood","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0130frc33","id-type":"ROR","asserted-by":"publisher"}],"name":"University of North Carolina at Chapel Hill","department":["Department of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0954-5036","authenticated-orcid":true,"given":"Escher","family":"Howard-Williams","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0130frc33","id-type":"ROR","asserted-by":"publisher"}],"name":"University of North Carolina at Chapel Hill","department":["Department of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlton","family":"Moore","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0130frc33","id-type":"ROR","asserted-by":"publisher"}],"name":"University of North Carolina at Chapel Hill","department":["Department of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Kahl","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0130frc33","id-type":"ROR","asserted-by":"publisher"}],"name":"University of North Carolina at Chapel Hill","department":["Department of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"35509","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"issue":"7","key":"ref1","doi-asserted-by":"publisher","first-page":"2195","DOI":"10.1111\/jgs.18784","article-title":"The clinical use of personal hearing amplifiers in facilitating accessible patient-provider communication: A scoping review","volume":"72","author":"R. 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