5 Best Practices for Medical Documentation
Expert discusses common medical record documentation mistakes, including failing to update prepopulated or copied notes from a previous visit.
Electronic Health Record
Current State of Digital Health Technologies in Mental Healthcare
Researchers deployed a survey to clinicians to assess their use of digital technology for mental healthcare.
Electronic Health Record Usability Deemed Unacceptable by Physicians
The usability of current electronic health records (EHRs) is classified as unacceptable, with physician-rated EHR usability independently linked to the odds of burnout.
Do EHRs Properly Match Physical Examinations in the ER?
Electronic health records may not correctly reflect review of systems and physical examination observations made by emergency physicians.
Implementation of a Screening Questionnaire for Obstructive Sleep Apnea in the Electronic Medical Record
Patients with untreated obstructive sleep apnea have been shown to have numerous cognitive disturbances, which can lead to poor work performance, work errors, and poor quality of life.
HIT-Related Stress Linked to Burnout Among Physicians
Odds of burnout up with report of poor/marginal time for documentation, time spent on EHR at home.
One-Third of Peds Medication Errors Due to Usability Issues
EHR usability issues contribute to 36% of med errors; 18.8% may have caused harm.
Clinician dissatisfaction with electronic health records increasing
More clinicians report being dissatisfied or very dissatisfied with electronic health records.
Providers not always happy with increased electronic health records functionalities
Less than 40% of providers reported being satisfied with their electronic health record system switch.
Software may improve quality of life for patients with rheumatic disease
A new software program that combines, stores, and rearranges patient and provider information was linked to positive disease control.
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