Practical Reviews

Minefields in EHR Documentation -- Cutting, Pasting, Drop-Down Menus


In electronic health records (EHRs), the ability to copy previous entries and paste them into a current entry can lead to a record in which a provider may unwittingly attest to the accuracy and comprehensiveness of substantial amounts of duplicated or inapplicable information, as well as the incorporation of misleading or erroneous documentation. If you are going to copy and paste data, then be extremely careful about what is contained in that material and what you do with it. When more...
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