Many electronic medical records have the ability to copy and paste data, assessments, and multiple types of information.  This feature was designed to allow for more efficient documentation.  However, this feature has created many issues.  The “copier”, by the very act of copying and pasting has taken the previous documentation as his own.  If he […]

The  copy and paste function of the Electronic Health Record is a dangerous feature.  I have personally reviewed medical cases where a patient was noted to have diabetes, but didn’t.  It was an error by the initial author of the Past Medical History, but copied and pasted to each physician’s assessment.  A pressure ulcer was […]