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 ...

What does your doctor really think about your condition and health concerns? For more than a year now, patients have been able to access and read the observations doctors write down about them during ...

Patients can now see most of their physicians’ notes about their visits, but not many are taking advantage of this newfound transparency, The Atlantic reported. In April 2021, a federal rule, known ...

In the realm of healthcare, precision and clarity in communication are paramount. As the industry evolves, so does the need for enhanced skills among those at its helm. Writing education stands as a ...

Clerical documentation burdens for physicians expanded during the past decade in part due to increased regulatory requirements and the corresponding proliferation of EHRs — one 2017 study found ...

Doctors are more likely to describe Black patients negatively when writing notes and reports, which could encourage medical racism and Black people’s distrust of the nation’s health care system, a ...

Generative AI has taken over from GPs to write patients’ notes at one health centre in Weston-super-Mare. When patients at St Georges Surgery in Worle get an appointment with their doctor, instead of ...