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 ...

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 ...

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 ...

(HealthDay News) — Internal medicine attendings and housestaff disagree on the impact of electronic health records (EHRs) on the quality of progress notes, according to a study published online July 2 ...

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.

I was recently notified of a recognition that I would be receiving from my alma mater, the University of Kentucky. The congrats email was soon followed by a slew of others on setting a date, the ...

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 ...