Minimizing electronic health record patient-note mismatches

Minimizing electronic health record patient-note mismatches

We measured the prevalence (or rate) of patient-note mismatches (clinical notes judged to pertain to another patient) in the electronic medical record. The rate ranged from 0.5% (95% CI 0.2% to 1.7%) before a pop-up window intervention to 0.3% (95% CI 0.1% to 1.1%) after the intervention. Clinicians discovered patient-note mismatches in 0.05-0.03% of notes, or about 10% of actual mismatches. Th...

Patient-initiated electronic health record amendment requests

BACKGROUND AND OBJECTIVE Providing patients access to their medical records offers many potential benefits including identification and correction of errors. The process by which patients ask for changes to be made to their records is called an 'amendment request'. Little is known about the nature of such amendment requests and whether they result in modifications to the chart. METHODS We con...

Patient access to the electronic health record

Systems for Improving Electronic Health Record Note Comprehension

Allowing patients access to their physicians’ notes has the potential to enhance their understanding of disease and improve medication adherence and healthcare outcomes. However, a recent study involving over ten thousand patients showed that allowing patients to read their electronic health record (EHR) notes caused confusion, especially for the vulnerable (e.g., lower literacy, lower income) ...

Cultural Considerations in Physician-Patient Relationships, With an Emphasis on Electronic Health Record

Good and healthy communication between physician and patient is cornerstone of a complete medical care that has long been considered in sociology. From the classical point of view, the physician-patient relationship as a unique relationship encompasses a wide range of cultural and social influences. Electronic health record not only has facilitated the treatment and diagnosis process, but also ...