Crafting the ideal patient progress note, at least judging from the literature, seems more easily achieved in theory than in execution. Since the late 2000s, when the electronic health record replaced ...

Among the 11,046 patients who were hospitalized at Kagawa University Hospital (KUH) from January to December 2021, those who were admitted to the Gastroenterology Department as their main department ...

Several weeks ago, a patient of mine was admitted to the hospital. Reading through the admission notes, from the triage by the emergency department (ED) through the admitting team, I unfortunately was ...

When patients receive services from mental health professionals (MHPs), they have a right to informed consent (Barsky, 2023). Informed consent includes the right to understand what kinds of records ...

Physician progress notes are vital for documenting patient history and treatment plans [1]. In the neonatal intensive care unit (NICU), progress notes often dually serve as a comprehensive record of ...