Cut-and-paste clinical notes confuse care, say US internists

L Vogel - 2013 - Can Med Assoc
The American College of Physicians (ACP) has launched an investigation in response to
concerns that tickbox documentation and copy–paste data dumping are crowding out …

[CITATION][C] Point‐counterpoint: Time to wash away the SOAP note—Or merely rinse it?

A Rodman, V Schaye, H Hofmann… - Journal of Hospital …, 2023 - Wiley Online Library
Were an anthropologist unfamiliar with the practice of modern medicine to follow around a
busy hospitalist in the 21st century, they would surely determine that the main purpose of our …

A patient-centered approach to writing ambulatory visit notes in the cures act era

BD Lam, D Dupee, M Gerard… - Applied Clinical …, 2023 - thieme-connect.com
The 21st Century Cures Act Final Rule mandated that all US patients have electronic access
to clinical notes in 2021, 1 encoding the cultural shift toward health information transparency …

Patient access to physician notes is gaining momentum

JA Jacob - JAMA, 2016 - jamanetwork.com
Family physician Richard Martin, MD, sees many patients with chronic conditions. Among
them is a man in his 80s who arrives prepped by Martin's notes from his last visit. Martin was …

Patients contributing to their doctors' notes: insights from expert interviews

JN Mafi, M Gerard, H Chimowitz… - Annals of internal …, 2018 - acpjournals.org
Background: In a rapidly expanding practice directed toward improved communication,
patient engagement, and patient safety, clinicians are increasingly inviting patients to read …

Open notes: doctors and patients signing on

T Delbanco, J Walker, JD Darer, JG Elmore… - Annals of internal …, 2010 - acpjournals.org
Reader Survey: What do you think about open access progress notes? Few patients read
their doctors' notes, despite having the legal right to do so. As information technology makes …

Quoting patients in clinical notes: first, do no harm

MC Beach, S Saha - Annals of internal medicine, 2021 - acpjournals.org
Quoting Patients in Clinical Notes: First, Do No Harm | Annals of Internal Medicine
Advertisement ACP Online Annals of Internal Medicine Annals of Internal Medicine Enter words …

[HTML][HTML] Clinical thinking via electronic note templates: Who benefits?

A Savoy, R Frankel, M Weiner - Journal of General Internal Medicine, 2021 - Springer
T he origin of physicians' documentation of encounters with patients is obscure, but in 1902,
Bostonian physician Richard Cabot published Exercises in Differential Diagnosis. 1 Cabot …

Patients learning to read their doctors' notes: the importance of reminders

JN Mafi, R Mejilla, H Feldman, L Ngo… - Journal of the …, 2016 - academic.oup.com
Objective To examine whether patients invited to review their clinicians' notes continue to
access them and to assess the impact of reminders on whether patients continued to view …

Length and redundancy of outpatient progress notes across a decade at an academic medical center

A Rule, S Bedrick, MF Chiang, MR Hribar - JAMA Network Open, 2021 - jamanetwork.com
Importance There is widespread concern that clinical notes have grown longer and less
informative over the past decade. Addressing these concerns requires a better …