From 2009 to 2018, as electronic medical records became ubiquitous, chart notes doubled in length. In the Penn study, the average patient record had more than half the word count of Shakespeare ...

To download a sample copy of the medical chart peer review evaluation form you can adapt for use in your ASC, click here (doc). Learn more about Orthopedic Surgery Center of Orange County. Download ...

The team studied medical notes that were written from January to December in 2018. Overall, around 1,200, or 2.5 percent, of the admission notes contained unfavorable language.

A long-standing tradition in American medicine is to mention a patient’s race or ethnicity at the beginning of oral case presentations or written chart notes, particularly those by medical ...