Clinical Granularity [Neurosurgery Wiki]

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====== Clinical Granularity ======

**Clinical granularity** refers to the level of detail and specificity captured in clinical data, documentation, or decision-making. It reflects how precisely and comprehensively a patient's condition, symptoms, diagnoses, treatments, and outcomes are described or recorded.

===== Definition =====
Clinical granularity is the degree to which clinical information is documented with fine, meaningful detail that supports accurate diagnosis, treatment planning, communication, and data analysis.

===== Examples =====

^ Aspect ^ Low Granularity ^ High Granularity ^
| Diagnosis | ''Infection'' | ''Postoperative Staphylococcus aureus meningitis'' |
| Symptom | ''Altered mental status'' | ''Fluctuating bradipsychia with bilateral VI nerve palsy and Parinaud’s sign'' |
| Imaging | ''CT normal'' | ''CT shows mild periventricular edema, Evans index 0.34, no midline shift'' |
| Medication | ''Antibiotics given'' | ''Vancomycin 1g/12h IV, adjusted for GFR 45 ml/min'' |

===== Importance =====

  * Improves diagnostic precision
  * Enables personalized treatment
  * Supports better coding and billing (ICD, SNOMED)
  * Facilitates research and clinical audits
  * Enhances inter-professional communication

===== Example in context =====
> ''The lack of clinical granularity in the initial emergency department note hindered the neurosurgical team's ability to assess the progression of the patient’s neurological deficits.''