The Open Notes mandate that will let patients see all of a physician's clinical notes on their treatment is making some ... For example, a medical term such as "spontaneous ... Progress Made ...

On average, clinicians at the University of California San Francisco Medical Center manually entered just 18% of the text in each progress note, while 46% was copied and 36% was imported ...

The sample size of 30 patients was based on the typical size of the hospital's monthly drug-use evaluations and a ... the Clinical Inpatient Record Progress Note, and physician discharge ...

Physicians take higher-quality and more efficient notes when they receive education and guidelines that emphasis note-taking best practices, according to a UC-Los Angeles study. For the study ...

• Need to scan handwritten physician progress notes, which are sometimes illegible. • Physician documentation using a computerized progress-note format and/or voice recognition software can ...

Physician progress notes tend to be more accurate in paper records than in newly implemented electronic health records, but there is more information omitted in paper notes, according to a new ...