Most primary care providers see 15 to 20 patients a day, and many of them spend up to two hours a shift typing information into patient charts. It's a leading reason for physician burnout, said Dr.

In the health care industry, there is a common adage: If you didn’t document it, it didn’t happen. For a combination of legal, medical and billing reasons, doctors spend hours every day in front of ...

However, paper-based records aren’t quite a thing of the past. The most recent published figures show that only 78 percent of ...

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 ...

When health care providers enter notes into patients’ electronic health records, they are more likely to portray Black patients negatively compared with white patients, two recent studies have found.

Little is known about how racism and bias may be communicated in the medical record. This study used machine learning to analyze electronic health records (EHRs) from an urban academic medical center ...

The ScanChart application is a new electronic medical records software from Surgical Notes, a nationwide provider of medical transcription, coding, electronic medical records and other value-added IT ...

Regard has upgraded its AI platform to enable doctors to more accurately diagnose patients at the bedside. The company developed a proprietary diagnostic engine to identify missed conditions like ...

A new health informatics study found that clinical care documentation results in a high prevalence of text duplication and that systemic hazards require systemic interventions to fix. Earlier this ...