MedPage Today February 11, 2025
Fred N. Pelzman, MD

— A lot of important stuff gets left out; a good system should be able to fix that

If it’s not right there in the electronic health record, did it really happen?

Every once in a while (maybe more often than that), a patient comes to see us after a brief or prolonged hospitalization, some major surgery, or a new diagnosis and treatment that has occurred. Sometimes this stuff is very recent; sometimes the patients still have dressings and drains, and actively healing surgical scars.

And sometimes, whatever this is has been developing over a period of time, 1 or 2 years — sometimes longer — a terrible diagnosis, extensive evaluations, medical decisions, a course of treatment, and complications. Sometimes...

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