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Editorials |17 February 2015

Clinical Documentation to Improve Patient Care

Thomas D. Sequist, MD, MPH

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Author, Article, and Disclosure Information
This article was published online first at www.annals.org on 13 January 2015.
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Expanded use of advanced electronic health records (EHRs) has many implications for the delivery of safe and effective patient care. The benefits of EHRs include decision support promoting medication safety, patient registries for preventive and chronic disease care, and improved patient engagement through integrated patient portals (1). However, these benefits are accompanied by drawbacks, with mixed effects on patient experiences of care (2), the potential for unintended harm related to electronic processes (3), and uncertain return on economic investment in complex EHR implementations (4). In this issue, the Medical Informatics Committee of the American College of Physicians (ACP) provides a policy analysis and recommendations for another important facet of EHRs: clinical documentation (5).
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Sequist TD. Clinical Documentation to Improve Patient Care. Ann Intern Med. ;162:315–316. doi: 10.7326/M14-2913

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Published: Ann Intern Med. 2015;162(4):315-316.

DOI: 10.7326/M14-2913

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