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 ...

Did you know that as of April 2021, all patients have electronic access to their doctors’ notes from medical appointments? This increased access to information is aimed at improving patient care, as ...

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 ...

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 ...

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 ...

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 ...

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 ...

New York City-based NYU Langone Health tested artificial intelligence to see how well it can convert physician notes into accurate lay language that improved patient understanding. The study, ...

In April, the federal government mandated that healthcare providers provide free electronic access to patients' clinical notes, as part of the 21st Century Cures Act. This includes eight types of ...

Patients who read their clinicians’ notes feel more in control of their medications and are more likely to take medications as prescribed, according to a study published in the Annals of Internal ...

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 ...