Sexual History Was One Of The Least Frequently Documented Social History In Cerner PowerChart Histories: A Multi-Hospital Medical Center Experience For The Year 2022

Abstract

Background: As sexual history encompasses sensitive information about private lives, patients as well as providers may find it difficult to discuss during patient-provider encounters. Objectives: To ascertain the incidence of absent documentation about sexual history among patients at seven adult hospitals of a multi-hospital medical center during the year 2022. Materials and Methods: The multi-hospital medical center information technology team ran a search query in electronic medical records to extract census of unique patient identifications quantifying absent documentation rates about social history categories of Tobacco, Alcohol, Substance Abuse, Home/Environment, Sexual, Nutrition/Health, Exercise, Employment/School, Other. Results: Among the patients managed in the year 2022 (n=25005), Other and Sexual social history categories were least frequently documented (1-2%). Contrarily, Home/Environment and Tobacco social history categories were most frequently documented (81-82%). Conclusion: Among the patients managed at the multi-hospital medical center, sexual history was one of the least frequently documented social history during the year 2022.

Competing Interest Statement

The authors have declared no competing interest.

Funding Statement

This study did not receive any funding

Author Declarations

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

Yes

The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

Wayne State University: IRB Administration Office gave ethical approval as concurrence of exemption for this work.

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Yes

I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

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I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.

Yes

Data Availability

All data produced in the present work are contained in the manuscript

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