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Accepted for/Published in: Journal of Medical Internet Research

Date Submitted: Sep 7, 2020
Date Accepted: Mar 18, 2021

The final, peer-reviewed published version of this preprint can be found here:

Beyond Notes: Why It Is Time to Abandon an Outdated Documentation Paradigm

Steinkamp J, Kantrowitz J, Sharma A, Bala W

Beyond Notes: Why It Is Time to Abandon an Outdated Documentation Paradigm

J Med Internet Res 2021;23(4):e24179

DOI: 10.2196/24179

PMID: 33877053

PMCID: 8097521

Beyond notes: why it’s time to abandon an outdated documentation paradigm

  • Jackson Steinkamp; 
  • Jacob Kantrowitz; 
  • Abhinav Sharma; 
  • Wasif Bala

ABSTRACT

Clinicians spend a significant part of their workday reviewing and writing electronic medical notes. Here we describe how the current, widely accepted paradigm for electronic medical notes represents a poor organizational framework for both the individual clinician and the broader medical team. As described in our commentary, refinement of electronic medical notes can be completed by reconceptualizing charts as a dynamic workspace, having collaborative workspaces, and a version system history. This revised framework will enable a higher-level assessment of the current state of the patent, simultaneously saving clinicians substantial time on both the data input and retrieval sides. Collectively, this approach has the potential to drastically improve health care effectiveness and efficiency.


 Citation

Please cite as:

Steinkamp J, Kantrowitz J, Sharma A, Bala W

Beyond Notes: Why It Is Time to Abandon an Outdated Documentation Paradigm

J Med Internet Res 2021;23(4):e24179

DOI: 10.2196/24179

PMID: 33877053

PMCID: 8097521

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