Comparison of accuracy of physical examination findings in initial progress notes between paper charts and a newly implemented electronic health record.
There have been several concerns about the quality of documentation in electronic health records (EHRs) when compared to paper charts. This study compares the accuracy of physical examination findings documentation between the two in initial progress notes.
Author(s): Yadav, Siddhartha, Kazanji, Noora, K C, Narayan, Paudel, Sudarshan, Falatko, John, Shoichet, Sandor, Maddens, Michael, Barnes, Michael A
DOI: 10.1093/jamia/ocw067