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 ...

Traditional clinical documentation can consume up to 20 minutes per session—a timesuck that quickly compounds over weeks and months. Dr. Dionne Mahaffey, an interdisciplinary entrepreneur, founded ...

The "SOAP" -- subjective, objective, assessment, plan -- format has been in common use for decades as a way of organizing physician progress notes in medical records, but it was created during a ...

Health care systems have been putting therapists’ progress reports online, much to the surprise (and anger) of some patients. By Christina Caron Stunned. Ambushed. Traumatized. These were the words ...

The new per-user add-on brings structured AI clinical documentation into Notes, Documents, and Assessments, giving Canadian therapists, physiotherapists, and allied health professionals a flexible and ...

EHR progress notes are intended to do just what they sound like — give physicians a chance to provide an updated analysis of a patient’s condition and progress. For clinicians, the laborious process ...

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.