The practice of cloned (or copy and pasted) documentation is a significant issue in the use of Electronic Health Records (EHRs). AMA found in a recent study that only 18% of medical records documentation was newly entered.
Terry discusses how the use of cloned notations and documentation can damage the integrity and trustworthiness of a medical record: and also that of a physician.
The growing abuse of this practice or “EHR feature” is an area of government audit focus. We need to act on how this can affect the safety and quality of care for patients, as well as the potential for fraud and abuse allegations.
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Podcast: Play in new window | Download (Duration: 22:46 — 31.4MB)