Lexology September 8, 2024
Documenting patient care, including compiling diagnostic reports, writing progress notes, recording medication administration, and synthesizing a patient’s treatment history across different specialists, is a crucial part of the health care system.
This record keeping takes up a lot of time for health care professionals, which has only increased with electronic health records. Doctors are estimated to spend two hours documenting patient care for every hour of patient interaction and 60% of nurses’ time is devoted to record keeping. Also, for all the efforts put into electronic templates, entries in patient health records can be inconsistent between individual health professionals, often shorthand or opaque in detail and more concerningly, sometimes incomplete or inaccurate.
While there have been many studies of finetuning...
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