OpenNotes, a program that began in 2010 and is designed to drive patient engagement by making physician notes readily available, has produced increasingly positive results. But that open access ...

In the health care industry, there is a common adage: If you didn’t document it, it didn’t happen. For a combination of legal, medical and billing reasons, doctors spend hours every day in front of ...

A patient is anxious about what his therapist truly thinks about him. Does the patient have a right to review the therapist’s private notes that contain clinical impressions?

Nine health systems and organizations in Washington and Oregon -- representing more than a million patients -- have pledged to open up physician notes to patients via electronic medical records by the ...

October 1, 2012 — Primary care physicians and patients believe that allowing patients to review doctors' notes has significant benefits and few problems, according to the findings of a ...

In a recent report on Use of Artificial Intelligence in the Ontario Government, the auditor general reviewed transcription ...

The call to action comes when patients see their physician's notes, says Jan Walker, a registered nurse and principal associate in medicine at Beth Israel Deaconess Medical Center (BIDMC) and Harvard ...

New York City-based NYU Langone Health tested artificial intelligence to see how well it can convert physician notes into accurate lay language that improved patient understanding. The study, ...

What are SOAP notes: A structured documentation method capturing subjective and objective data, assessment, and plan to ensure clarity and continuity in patient care. Why they matter: Clear SOAP notes ...

Doctors say patient records hard to access for public and private clinicians Potential safety risk for patients with more operations being "outsourced" to private - union Health NZ says new system ...

Notes written about non-Hispanic Black patients had higher odds of containing terms undermining credibility and lower odds of supporting credibility compared with notes about White patients. HealthDay ...