"Note bloat" putting patients at risk

Healthcare IT News, 10/14/2013

Healthcare organizations with long–established electronic health records run the risk of "note bloat" and compromised patient safety unless they standardize physician documentation procedures and limit the amount of cutting–and–pasting doctors have to do...More

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Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
  • patient safety should trump all other values; corporate concerns about liability and intellectual property ownership may be valid but should not over-ride all other considerations;
  • transparency and a commitment to patient safety should govern vendor contracts;
  • institutions are duty-bound to provide ethics education to purchasers and users, and should commit publicly to standards of corporate conduct; and
  • vendors, system purchasers, and users should encourage and assist in each others’ efforts to adopt best practices.

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