Fig. 1: Design and outcomes of a randomized cross-over trial evaluating PEACH-assisted versus standard patient documentation.

Recruitment and trial design for evaluation of PEACH-assisted documentation. Sixteen eligible resident physicians were screened, of whom fourteen were recruited. Participants were stratified by experience (novice, new to institution, experienced) and underwent a randomized cross-over trial over two consecutive days, alternating between standard clinical care (without PEACH) and access to PEACH to assist with clinical care and documentations (with PEACH). In total, 272 patient encounters were recorded: 135 during without PEACH days and 137 during with PEACH days. Among encounters during with PEACH days, PEACH was utilized in 111 out of 137 cases (81.0%). The remaining 26 encounters, in which PEACH was available but not used, were analyzed as part of the non-PEACH group. Total documentation records comprised 161 without PEACH and 111 with PEACH.