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 ...

Physicians’ style of note-taking could affect the quality of care they provide, according to a study published in the Journal of the American Medical Informatics Association. The study examined ...

With an influx of data available at providers’ fingertips, they can readily share information with patients. Many in the medical community advocate for note sharing as healthcare becomes increasingly ...

When Dr. David Wallace graduated from medical school in 1995, every visit note, prescription and lab request had to be written by hand. Now, artificial intelligence writes visit notes for him before ...

Artificial intelligence (AI) tools can give doctors more time with patients by slashing the amount of time they spend taking notes, according to new data from a Swedish medical scribe company. The ...

Most physicians have never undergone a peer review, but 56% of physicians said they were concerned that peer reviews could be used to punish them, according to a Medscape report. The “Seeking Fairness ...

Physicians often need to work outside of typical clinic hours to complete patient visit notes, and studies have shown this "pajama time," along with other factors driven by documentation burden, ...

Electronic medical records (EMRs) have been a tremendous benefit in exam rooms across the country, creating secure patient history databases that clinicians can easily access and update. Yet, they can ...

SIX months ago, more than a dozen offshore oil-drilling companies in Houston agreed to pay $75 million in back wages to 60,000 laborers. It turned out that the companies had gotten together and set ...