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Physicians' attitudes towards copy and pasting in electronic note writing
Heather C O'Donnell1, Rainu Kaushal, Yolanda Barrón
1Department of Public Health, Weill Cornell Medical College, New York, NY, USA. hodonnel@montefiore.org
Journal of General Internal Medicine
|November 11, 2008
Summary
Physicians frequently use the copy and paste function (CPF) in electronic health records, despite acknowledging potential inaccuracies. Most doctors want to continue using CPF for note writing, highlighting its perceived efficiency.
Area of Science:
- Medical Informatics
- Health Services Research
- Clinical Documentation
Background:
- Electronic health records (EHRs) facilitate physician documentation but may impact note quality.
- The use and impact of the copy and paste function (CPF) in physician notes are not well understood.
Purpose of the Study:
- To assess physicians' use of CPF in EHRs.
- To determine physicians' perceptions of CPF's impact on note quality and patient care.
- To understand physicians' opinions on the future use of CPF.
Main Methods:
- A cross-sectional survey was administered to resident and faculty physicians at two academic medical centers.
- The survey collected data on the use, perceptions, and future opinions regarding CPF.
Main Results:
- 90% of physicians using electronic inpatient notes utilized CPF, with 70% using it frequently.
- While 71% noted inconsistencies and outdated information in copied text, most physicians (80%) perceived no negative impact on documentation or patient care.
- The majority (80%) expressed a desire to continue using CPF.
Conclusions:
- Physicians widely use CPF for efficiency in EHRs, despite awareness of potential quality issues.
- The majority do not perceive CPF as negatively impacting documentation or patient care.
- Further research is needed to evaluate the impact of EHR copy and paste functionality on patient safety and care quality.
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