From 2009 to 2018, as electronic medical records became ubiquitous, chart notes doubled in length. In the Penn study, the average patient record had more than half the word count of Shakespeare ...

The team studied medical notes that were written from January to December in 2018. Overall, around 1,200, or 2.5 percent, of the admission notes contained unfavorable language.

To download a sample copy of the medical chart peer review evaluation form you can adapt for use in your ASC, click here (doc). Learn more about Orthopedic Surgery Center of Orange County. Download ...

On the face of this research you would have to ask why the OpenNotes system hasn’t been championed across health systems worldwide. Hopefully it’s just bureaucratic inertia.