Frequency and Types of Patient-Reported Errors in Electronic Health Record Ambulatory Care Notes

JAMA Network Open
Sigall K BellCatherine DesRoches

Abstract

As health information transparency increases, patients more often seek their health data. More than 44 million patients in the US can now readily access their ambulatory visit notes online, and the practice is increasing abroad. Few studies have assessed documentation errors that patients identify in their notes and how these may inform patient engagement and safety strategies. To assess the frequency and types of errors identified by patients who read open ambulatory visit notes. In this survey study, a total of 136 815 patients at 3 US health care organizations with open notes, including 79 academic and community ambulatory care practices, received invitations to an online survey from June 5 to October 20, 2017. Patients who had at least 1 ambulatory note and had logged onto the portal at least once in the past 12 months were included. Data analysis was performed from July 3, 2018, to April 27, 2020. Access to ambulatory care open notes through patient portals for up to 7 years (2010-2017). Proportion of patients reporting a mistake and how serious they perceived the mistake to be, factors associated with finding errors characterized by patients as serious, and categories of patient-reported errors. Of 136 815 patients who re...Continue Reading

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Citations

Oct 13, 2020·Annals of Internal Medicine·Charlotte BleaseTom Delbanco
Nov 20, 2020·Seminars in Dialysis·Catherine M DesRoches
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Feb 5, 2022·JAMA : the Journal of the American Medical Association·Charlotte BleaseSharona Hoffman

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Methods Mentioned

BETA
hysterectomy

Software Mentioned

SAS
OpenNotes

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