On a monthly basis, one of 17 physicians at Orthopedic Surgery Center of Orange County in Newport Beach, Calif., is chosen to peer review 30 medical charts for accuracy and completeness. The only ...

Surgical Notes, a nationwide provider of medical transcription, coding and other related information technology services, recently gathered data from roughly 30 ASCs and surgical hospitals, to ...

Little is known about how racism and bias may be communicated in the medical record. This study used machine learning to analyze electronic health records (EHRs) from an urban academic medical center ...

When health care providers enter notes into patients’ electronic health records, they are more likely to portray Black patients negatively compared with white patients, two recent studies have found.

Three quarters of trusts in England that responded to a survey by The BMJ are still reliant on paper patient notes and drug charts, despite progress towards electronic records and prescribing. The ...

Adverse events during hospitalization are a major cause of patient harm, as documented in the 1991 Harvard Medical Practice Study. Patient safety has changed substantially in the decades since that ...