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This WebM&M describes two cases illustrating several types of Electronic Health Record (EHR) errors, with a common thread of erroneous use of electronic text-generation functionality, such as copy/paste, copy forward, and automatically pulling information from other electronic sources to populate clinical notes. The commentary discusses other EHR-based documentation tools (such as dot phrases), the influence of new documentation guidelines, and the role of artificial intelligence (AI) tools to capture documentation.
Chicago, IL: American Medical Association; 2023.
Tahir D. KFF Health News. May 12, 2023.
Washington DC; Office of Senator Mark Warner: November 25, 2022.
Weber L, Jewett C. Kaiser Health News. 2021-2022.
ISMP Medication Safety Alert! Acute Care Edition. June 29, 2017;16:1-5.