I recently took care of a patient whose medical records included multiple notes about her past open-heart surgery. Only she had never undergone open-heart surgery. That would have been obvious if the ...

In recent years, computerization of patient records has increased at a moderate rate and this trend is likely to continue, particularly as technology improves and becomes more affordable and as the ...

The patient record touches, in some way, virtually everyone associated with providing, receiving, or reimbursing health care services. This wide range of application and use has led to efforts to ...