In the health care industry, there is a common adage: If you didn’t document it, it didn’t happen. For a combination of legal, medical and billing reasons, doctors spend hours every day in front of ...

Most primary care providers see 15 to 20 patients a day, and many of them spend up to two hours a shift typing information into patient charts. It's a leading reason for physician burnout, said Dr.

October 1, 2012 — Primary care physicians and patients believe that allowing patients to review doctors' notes has significant benefits and few problems, according to the findings of a ...

When patients receive services from mental health professionals (MHPs), they have a right to informed consent (Barsky, 2023). Informed consent includes the right to understand what kinds of records ...

The call to action comes when patients see their physician's notes, says Jan Walker, a registered nurse and principal associate in medicine at Beth Israel Deaconess Medical Center (BIDMC) and Harvard ...

With an influx of data available at providers’ fingertips, they can readily share information with patients. Many in the medical community advocate for note sharing as healthcare becomes increasingly ...

Crafting the ideal patient progress note, at least judging from the literature, seems more easily achieved in theory than in execution. Since the late 2000s, when the electronic health record replaced ...

Patients overwhelmingly want access to the notes their physicians take during visits, according to one study that was recently published in the Annals of Internal Medicine. About 95 percent of ...

Notes written about non-Hispanic Black patients had higher odds of containing terms undermining credibility and lower odds of supporting credibility compared with notes about White patients. HealthDay ...

Neil Erikson left sticky notes all over the American Cancer Society's Hope Lodge in Houston to uplift others. His simple act of kindness created a ripple effect among patients and staff. Fellow ...