Characterizing the Source of Text in Electronic Health Record Progress Notes

JAMA Network May 30, 2017
Michael D. Wang, MD; Raman Khanna, MD; Nader Najafi, MD

The traditional goal of progress notes is to provide a concise, up-to-date reflection of the patient’s condition and the clinician’s thought process.¹ Electronic health records (EHRs) allow physicians writing these notes to supplement traditional manual data entry with copied or imported text. However, copying or importing text increases the risk of including outdated, inaccurate, or unnecessary information, which can undermine the utility of notes...

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