Crafting the ideal patient progress note, at least judging from the literature, seems more easily achieved in theory than in execution. Since the late 2000s, when the electronic health record replaced ...

Only 18 percent of electronic inpatient progress notes are original entries by clinicians, according to a research letter in JAMA Internal Medicine. Three UC San Francisco physicians — Michael D. Wang ...

Several weeks ago, a patient of mine was admitted to the hospital. Reading through the admission notes, from the triage by the emergency department (ED) through the admitting team, I unfortunately was ...

Despite the risks associated with copying and pasting patient information into EHRs, new research shows more than 80% of the text in progress notes is either carried over or imported by clinicians.