In the health care industry, there is a common adage: If you didn’t document it, it didn’t happen. For a combination of legal, medical and billing reasons, doctors spend hours every day in front of ...

What does your doctor really think about your condition and health concerns? For more than a year now, patients have been able to access and read the observations doctors write down about them during ...

SAN DIEGO — Doctors in San Diego are increasingly turning to artificial intelligence to handle one of medicine's most time-consuming tasks: writing patient notes. The technology, called "AI scribe," ...

Physician assistant Sarah Garwood talks with Meryl Ruda during an appointment at the UNC Family Medicine at Panther Creek office Wednesday, Nov. 8, 2023. Ethan Hyman [email protected] In the ...

Health care systems have been putting therapists’ progress reports online, much to the surprise (and anger) of some patients. By Christina Caron Stunned. Ambushed. Traumatized. These were the words ...

Learn what makes a psychiatric note compliant and clinically protective, including structured documentation that supports care decisions and clear records. The post What Makes a Psychiatric Note Clear ...