Question

You are a clinical data specialist in an ambulatory care facility that has a newly implemented electronic health record (EHR). You notice that certain clinicians are copying and pasting discharge summaries written by others from partner hospitals into their patients' records. You are concerned and write an "issues brief" for the next EHR steering committee. Which of the following points will you include in the issues brief?
a. A definition of copy/paste
b. The benefits and risks of copy/paste
c. Medical record plagiarism
d. a, b, and c

Answer

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