After a night shift, your hands stop moving in front of the recording terminal. On the way back from a visit, you sigh with ...
I finished writing the support progress notes and suddenly wondered.“Is this too much?”The user's daughter told me while crying, “I’ve reached my limit with my mother.” I wrote those words exactly as ...
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 ...
Traditional clinical documentation can consume up to 20 minutes per session—a timesuck that quickly compounds over weeks and months. Dr. Dionne Mahaffey, an interdisciplinary entrepreneur, founded ...
Crafting the ideal patient progress note, at least judging from the literature, seems more easily achieved in theory than in execution. Since the late 2000s, when the electronic health record replaced ...