Peeking at physician notes in a medical chart is a bit like snooping through someone else’s diary because you never quite know what you’ll find. Will it be a perfectly mundane summary of vitals and ...

David West barely slept the night his older brother, William Ballantyne West Jr., called him from his D.C. apartment, sounding worried. His brother had earned the nickname “Iron Will” for the tenacity ...

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 ...

Nine health systems and organizations in Washington and Oregon -- representing more than a million patients -- have pledged to open up physician notes to patients via electronic medical records by the ...

Patient access to physician notes can boost patient engagement, understanding and adherence to their care plans, according to a study published in Annals of Internal Medicine. For the study, ...

With an influx of data available at providers’ fingertips, they can readily share information with patients. Many in the medical community advocate for note sharing as healthcare becomes increasingly ...