Safe Practices for Copy and Paste in the EHR

No abstract is available for this paper.

• Publication year

  2017

• Venue

  Applied Clinical Informatics

• Publication date

  2017-01-11

• Fields of study

  Medicine, Computer Science

• Identifiers
  DOI 10.4338/ACI-2016-09-R-0150PMID 28074211PMCID PMC5373750
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Clinical documentation in the 21st century: executive summary of a policy position paper from the American College of Physicians.

  2015cited by this paper
• Clinical Documentation in the 21 st Century : Executive Summary of a Policy Position Paper From the American College of Physicians

  2015cited by this paper
• Analysis of EHR Contributing Factors in Medical Professional Liability Claims.

  2015cited by this paper
• Copy, paste, and cloned electronic records.

  2014cited by this paper
• Medical Students’ Observations, Practices, and Attitudes Regarding Electronic Health Record Documentation

  2014cited by this paper
• Copy, Paste, and Cloned Notes in Electronic Health Records.

  2014cited by this paper
• Timeliness and quality of surgical discharge summaries after the implementation of an electronic format.

  2014cited by this paper
• Overcoming the risks of copy and paste in EHRs.

  2014cited by this paper
• Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations.

  2014influential reference
• Illusions and delusions of cut, pasted, and cloned notes: ephemeral reality and pixel prevarications.

  2014cited by this paper
• Beyond Copy and Paste: Clinician Approaches to Meeting Information Needs During Note Writing

  2014cited by this paper
• Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents.

  2014cited by this paper
• Illusions and Delusions of Cut, Pasted, and Cloned Notes.

  2014cited by this paper
• Integrity of the healthcare record. Best practices for EHR documentation.

  2013cited by this paper
• Impact of electronic health record systems on information integrity: quality and safety implications.

  2013cited by this paper
• The road to EMR noncompliance and fraud is paved with cut and paste.

  2013cited by this paper
• Association of Medical Directors of Information Systems Consensus on Inpatient Electronic Health Record Documentation

  2013influential reference
• Following the money: copy-paste of lifestyle counseling documentation and provider billing

  2013cited by this paper
• Types and origins of diagnostic errors in primary care settings.

  2013cited by this paper
• Prevalence of Copied Information by Attendings and Residents in Critical Care Progress Notes*

  2013cited by this paper
• Association of note quality and quality of care: a cross-sectional study

  2013cited by this paper
• Inappropriate and cloned clinical histories on radiology request forms for sick children

  2013cited by this paper
• Mistake noted.

  2012cited by this paper
• Abstracts of the Society of Hospital Medicine Annual Meeting. April 1-4, 2012. San Diego, California, USA.

  2012cited by this paper
• Using FDA reports to inform a classification for health information technology safety problems

  2012cited by this paper
• Clinical documentation: composition or synthesis?

  2012influential reference
• A piece of my mind. John Lennon's elbow.

  2012cited by this paper
• Clinical practice guidelines we can trust

  2011cited by this paper
• Copy/paste documentation of lifestyle counseling and glycemic control in patients with diabetes: true to form?

  2011cited by this paper
• Standard of care deviation results in patient's death. Copy & paste documentation not helpful to the defense.

  2010cited by this paper
• Quantifying clinical narrative redundancy in an electronic health record.

  2010cited by this paper
• Copy and paste of electronic health records: a modern medical illness.

  2010cited by this paper
• A new sociotechnical model for studying health information technology in complex adaptive healthcare systems

  2010influential reference
• Case report: Transition from paper to electronic inpatient physician notes

  2010cited by this paper
• Physicians’ Attitudes Towards Copy and Pasting in Electronic Note Writing

  2008influential reference
• Copying and pasting of examinations within the electronic medical record

  2007cited by this paper
• Are Electronic Medical Records Trustworthy? Observations on Copying, Pasting and Duplication

  2003cited by this paper
• Direct Text Entry in Electronic Progress Notes

  2003cited by this paper
• Report of the Committee on Ethics

  1949cited by this paper
• The American Medical Association.

  1947cited by this paper
• Transition from Paper to Electronic Inpatient Physician Notes Case Description

  year unknowncited by this paper

• Toward Safer Diagnoses: A SEIPS-Based Narrative Review of Diagnostic Errors

  2026cites this paper
• The Clinician as DIRECTOR: Operationalizing Cinematic Storytelling for Clinical Documentation in the Age of Artificial Intelligence

  2026cites this paper
• Thinking critically about AI documentation quality in primary care

  2026cites this paper
• Lost in transcription – how accurately are we documenting the surgical ward round?

  2025cites this paper
• Copy Tools in the Electronic Health Record: Perceptions, Implications, and Future Directions

  2025influential citation
• Characteristics and contributors to workarounds in the electronic health record system among inpatient nurses: Secondary analysis of a mixed-methods study.

  2025cites this paper
• Flesch-Kincaid Grade Level Readability Scores to Evaluate Readability of Clinical Documentation During an Electronic Health Record Transition.

  2025cites this paper
• Red teaming ChatGPT in medicine to yield real-world insights on model behavior

  2025cites this paper
• Addressing Note Bloat: Solutions for Effective Clinical Documentation

  2025cites this paper
• Nurses’ Perceptions and Recommendations on the Safe Use of “Copy and Paste” Function in an Electronic Medical Record of a National Tertiary Hospital

  2025cites this paper
• Real world challenges in maintaining data integrity in electronic health records in a cancer program

  2024cites this paper
• Data Quality–Driven Improvement in Health Care: Systematic Literature Review

  2024cites this paper
• Copying in medical documentation: developing an evidence‐based approach

  2024cites this paper
• EVALUATING FRAILTY INDEX INTEGRITY: INSIGHTS FROM AN INTERNATIONAL NETWORK STUDY

  2024cites this paper
• The Need for Standards in Evaluating the Quality of Electronic Health Records and Dental Records: A Narrative Review

  2024cites this paper
• Developing competencies relating to information science and technology in Japanese undergraduate medical education

  2024cites this paper
• Exploring Provider Perceptions and Attitudes toward Copy–Paste and Copy–Forward in Clinical Documentation

  2024cites this paper
• Streamlining documentation in patient electronic medical records: An example of chlamydia consultation shortcuts.

  2024cites this paper
• Multidisciplinary user experience of a newly implemented electronic patient record in Ireland: An exploratory qualitative study

  2024cites this paper
• Copy-Pasting in Patients’ Electronic Medical Records (EMRs): Use Judiciously and With Caution

  2023influential citation
• Impact of Electronic Health Record Use on Cognitive Load and Burnout Among Clinicians: Narrative Review

  2023cites this paper
• Ctrl-C: a cross-sectional study of the electronic health record usage patterns of US oncology clinicians

  2023cites this paper
• Conceptualizing Machine Learning for Dynamic Information Retrieval of Electronic Health Record Notes

  2023cites this paper
• Designing a minimum data set of laboratory data for the electronic summary sheet of pediatric ward in Iran: A cross‐sectional study

  2023cites this paper
• Optimized Use of the Electronic Health Record and Other Clinical Resources to Enhance the Management of Hypogonadal Men.

  2022cites this paper
• It’s time to change our documentation philosophy: writing better neurology notes without the burnout

  2022cites this paper
• Integrating interprofessional electronic medical record teaching in preregistration healthcare degrees: A case study

  2022cites this paper
• Prevalence and Sources of Duplicate Information in the Electronic Medical Record

  2022cites this paper
• Do electronic health record systems "dumb down" clinicians?

  2022cites this paper
• Disappearing Help Text: Implementing a Note-Based Tool for In-Line Clinical Decision Support and Note Bloat Reduction.

  2022cites this paper
• An evaluation of copy and paste events in electronic notes of patients with hospital acquired conditions

  2022cites this paper
• Summarizing Patients’ Problems from Hospital Progress Notes Using Pre-trained Sequence-to-Sequence Models

  2022cites this paper
• "Note Bloat" impacts deep learning-based NLP models for clinical prediction tasks

  2022cites this paper
• Can Checklists Solve Our Ward Round Woes? A Systematic Review

  2022cites this paper
• The Analysis of Pain Research through the Lens of Artificial Intelligence and Machine Learning.

  2022cites this paper
• Restricted use of copy and paste in electronic health records potentially improves healthcare quality

  2022cites this paper
• Patient and clinician experiences of uncertainty in the diagnostic process: Current understanding and future directions.

  2021cites this paper
• Teasing out Artificial Intelligence in Medicine: An Ethical Critique of Artificial Intelligence and Machine Learning in Medicine

  2021cites this paper
• The anatomy of electronic patient record ethics: a framework to guide design, development, implementation, and use

  2021cites this paper
• Evaluation and Improvement of Intern Progress Note Assessments and Plans.

  2021cites this paper
• Impact of Patient Load on the Quality of Electronic Medical Record Documentation

  2021cites this paper
• Association of Electronic Health Record Vendors With Hospital Financial and Quality Performance: Retrospective Data Analysis

  2021cites this paper
• What’s in a Summary? Laying the Groundwork for Advances in Hospital-Course Summarization

  2021cites this paper
• Optimizing Quality of Electronic Medical Records as a Platform for Resident Education

  2021cites this paper
• Physicians' perceptions about narrative note sections format and content: A multi-specialty survey

  2021cites this paper
• Preferences in Oncology History Documentation Styles Among Clinical Practitioners

  2021cites this paper
• Length and Redundancy of Outpatient Progress Notes Across a Decade at an Academic Medical Center.

  2021cites this paper
• The Effect of Electronic Health Record Burden on Pediatricians' Work–Life Balance and Career Satisfaction

  2021cites this paper
• Evaluation of a Series of Wrong Intravitreous Injections.

  2021cites this paper
• Classification of Electronic Health Record–Related Patient Safety Incidents: Development and Validation Study

  2021cites this paper
• Writing Practices Associated With Electronic Progress Notes and the Preferences of Those Who Read Them: Descriptive Study

  2021cites this paper
• Frequent but fragmented: use of note templates to document outpatient visits at an academic health center

  2021cites this paper
• Harnessing the Electronic Health Record and Computerized Provider Order Entry Data for Resource Management During the COVID-19 Pandemic: Development of a Decision Tree

  2021cites this paper
• The 21st Century Cures Act and Emergency Medicine - Part 1: Digitally Sharing Notes and Results.

  2021cites this paper
• Workarounds in Electronic Health Record Systems: A Scoping Review and Revised SEWA Framework (Preprint)

  2021cites this paper
• Assessing the quality of electronic medical records as a platform for resident education

  2021cites this paper
• Workarounds in Electronic Health Record Systems and the Revised Sociotechnical Electronic Health Record Workaround Analysis Framework: Scoping Review

  2021cites this paper
• A Practical Approach for Monitoring the Use of Copy-Paste in Clinical Notes

  2021cites this paper
• Comparing Scribed and Non-scribed Outpatient Progress Notes

  2021cites this paper
• Clinical Documentation on the Inpatient Unit

  2020cites this paper
• Structured Reports and Radiology Residents: Friends or Foes?

  2020cites this paper
• How much can we trust electronic health record data?

  2020cites this paper
• Are specific elements of electronic health record use associated with clinician burnout more than others?

  2020cites this paper
• Electronic Documentation in Pediatrics: The Rationale and Functionality Requirements

  2020cites this paper
• Electronic Documentation in Pediatrics: The Rationale and Functionality Requirements

  2020cites this paper
• Study design and ethical considerations related to using direct observation to evaluate physician behavior: reflections after a recent study

  2020cites this paper
• A Randomized Trial of Voice-Generated Inpatient Progress Notes: Effects on Professional Fee Billing

  2020cites this paper
• A Natural Language Processing Approach to Automated Highlighting of New Information in Clinical Notes

  2020cites this paper
• The Electronic Health Record as a Monitor for Performance Improvement

  2020cites this paper
• Managing Emergency Department Risk Through Communication and Documentation.

  2020cites this paper
• Clinical Documentation as End-User Programming

  2020cites this paper
• Pilot trial of semi-automated medical note writing using lexeme hypotheses

  2020cites this paper
• Public Health Informatics in the Larger Context of Biomedical and Health Informatics

  2020cites this paper
• Effects of Electronic Health Record Implementation and Barriers to Adoption and Use: A Scoping Review and Qualitative Analysis of the Content

  2020cites this paper
• Redundancy of Progress Notes for Serial Office Visits.

  2020cites this paper
• The anatomy of clinical documentation: an assessment and classification of narrative note sections format and content

  2020cites this paper
• Healthcare practitioner behaviours that influence unsafe use of hospital information systems

  2020cites this paper
• Using Voogle to Search Within Patient Records in the VA Corporate Data Warehouse.

  2019cites this paper
• The Effect of Electronic Health Records On Undergraduate and Postgraduate Medical Education: A Scoping Review

  2019influential citation
• Building a tobacco user registry by extracting multiple smoking behaviors from clinical notes

  2019cites this paper
• Assessing the Readability of Freely Available ICU Notes.

  2019cites this paper
• The Review of Systems, the Electronic Health Record, and Billing.

  2019cites this paper
• Unintended Consequences of Nationwide Electronic Health Record Adoption: Challenges and Opportunities in the Post-Meaningful Use Era

  2019cites this paper
• The complex case of EHRs: examining the factors impacting the EHR user experience

  2019cites this paper
• Validity of Drug and Diagnosis Data in Pharmacoepidemiology

  2019cites this paper
• Electronic Health Record Interactions through Voice: A Review

  2018cites this paper
• Integrated Electronic Discharge Summaries—Experience of a Tertiary Pediatric Institution

  2018cites this paper
• Nurses’ Experience With Health Information Technology: Longitudinal Qualitative Study

  2018cites this paper
• The prevalence and implications of copy and paste: internal medicine program director perspectives

  2018cites this paper
• Breadcrumbs: Assessing the Feasibility of Automating Provider Documentation Using Electronic Health Record Activity

  2018cites this paper
• Clinicians’ reasoning as reflected in electronic clinical note-entry and reading/retrieval: a systematic review and qualitative synthesis

  2018cites this paper
• An Evidence-Based Tool for Safe Configuration of Electronic Health Records: The eSafety Checklist

  2018cites this paper
• Care-Centered Clinical Documentation in the Digital Environment: Solutions to Alleviate Burnout

  2018cites this paper
• Designing health information technology tools for behavioural health clinicians integrated within US-based primary care teams

  2018cites this paper
• Characterizing the Source of Text in Electronic Health Record Progress Notes

  2017cites this paper
• Adoption of Electronic Health Records and Perceptions of Financial and Clinical Outcomes Among Ophthalmologists in the United States

  2017cites this paper
• Safe Practice Recommendations for the Use of Copy-Forward with Nursing Flow Sheets in Hospital Settings.

  2017cites this paper
• Copy-Forward in Electronic Health Records: Lipstick on a Pig.

  2017cites this paper
• Electronic Clinical Documentation

  2017cites this paper
• A Sociotechnical Approach to Electronic Health Record Related Safety

  2017cites this paper