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 …
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 …
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 …
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 …
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 …
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 …
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 …
Advertisement ACP Online Annals of Internal Medicine Annals of Internal Medicine Enter words …
[HTML][HTML] Clinical thinking via electronic note templates: Who benefits?
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 …
Bostonian physician Richard Cabot published Exercises in Differential Diagnosis. 1 Cabot …
Patients learning to read their doctors' notes: the importance of reminders
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 …
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
Importance There is widespread concern that clinical notes have grown longer and less
informative over the past decade. Addressing these concerns requires a better …
informative over the past decade. Addressing these concerns requires a better …