Resources tagged with: Electronic Health Records/Electronic Medical Records
The Map is Not the Territory: Medical Records and 21st-Century Practice

Martin's Viewpoint article in The Lancet points out that near verbatim transcription of clinical encounters are harmful to patients, clinicians, and the health...

Opinion Piece/Short Communication
Patients Contributing to Their Doctors’ Notes: Insights From Expert Interviews

This research article on a pilot study explores potential effectiveness of OurNotes, a secure portal through which clinicians and patients can co-produce medical...

Peer-Reviewed Literature
Emerging the EHR Purgatory – Moving from Process to Outcomes

Goroll's Perspective paper in the New England Journal of Medicine illustrates the electronics arms race between payers demanding documentation to justify payment...

Opinion Piece/Short Communication
How Doctors Feel About Electronic Health Records: National Physician Poll by The Harris Poll

The Harris Poll, on behalf of Stanford Medicine, conducted a comprehensive survey of over 500 primary-care physicians (PCPs) on their perceptions of electronic...

Presentation/Webinar
Electronic Nursing Documentation as a Strategy to Improve Quality of Patient Care

The following literature review of 24 studies examines the relationship between electronic nursing documentation and the quality of care provided to hospitalized...

Article
Effects of exam room EHR use on doctor-patient communication: A systematic literature review

The following systematic review examines how physician use of EHRs in medical consultations affects doctor-patient communication, both in terms of patient...

Health information technology, patient safety, and professional nursing care documentation in acute care settings

Although nurses applaud the EHR, they also indicate dissatisfaction with its design and cumbersome electronic processes. This article describes the views of nurses...

The effects of CPOE on ICU workflow: An observational study

Computerized physician order entry (CPOE) has had demonstrated benefits in error reduction and guideline adherence, but its implementation has often been...

Article
Evaluation and Management Services

The following report, conducted by the Centers for Medicare & Medicad Services, describes the general principles of E/M documentation, as well as the common...

Report
Revisiting E&M Visit Guidelines—A Missing Piece of Payment Reform

The following perspective piece, published in the New England Journal of Medicine, discusses the transformative potential of electronic health records (EHRs), which...

Opinion Piece/Short Communication