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.
Expert discusses common medical record documentation mistakes, including failing to update prepopulated or copied notes from a previous visit.
Researchers deployed a survey to clinicians to assess their use of digital technology for mental healthcare.
The usability of current electronic health records (EHRs) is classified as unacceptable, with physician-rated EHR usability independently linked to the odds of burnout.
Electronic health records may not correctly reflect review of systems and physical examination observations made by emergency physicians.
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.
Odds of burnout up with report of poor/marginal time for documentation, time spent on EHR at home.
EHR usability issues contribute to 36% of med errors; 18.8% may have caused harm.
More clinicians report being dissatisfied or very dissatisfied with electronic health records.
Less than 40% of providers reported being satisfied with their electronic health record system switch.
A new software program that combines, stores, and rearranges patient and provider information was linked to positive disease control.