Copying and pasting of examinations within the electronic medical record

International Journal of Medical Informatics

Volumn 76, Issue SUPPL. 1, 2007, Pages S122-S128

  Thielke, Stephen ^a   Hammond, Kenric ^a,b   Helbig, Susan ^b  

^a UNIVERSITY OF WASHINGTON   (United States)

^b VA PUGET SOUND HEALTH CARE SYSTEM   (United States)

Author keywords

Computerized medical record; Copying processes; Databases; Mental status examination; Physical examination

Indexed keywords

ALGORITHMS; BIOINFORMATICS; DATA RECORDING; DATABASE SYSTEMS; PATIENT MONITORING; RISK MANAGEMENT;

COMPUTERIZED MEDICAL RECORDS; COPYING PROCESSES; MENTAL STATUS EXAMINATION; PHYSICAL EXAMINATION;

HOSPITAL DATA PROCESSING;

ALGORITHM; ARTICLE; AUTHOR; AUTOMATION; ELECTRONIC MEDICAL RECORD; HEALTH SERVICE; HOSPITAL PATIENT; MEDICAL EXAMINATION; MEDICAL PRACTICE; OUTPATIENT; PRIORITY JOURNAL; QUALITY CONTROL;

EID: 34247197212     PISSN: 13865056     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ijmedinf.2006.06.004     Document Type: Article

References (12)

1. Hammond K.W., Helbig S.T., Benson C.C., and Brathwaite-Sketoe B.M. Are electronic medical records trustworthy? Observations on copying, pasting and duplication. Proc. AMIA Symp. (2003) 269-273
2. Weir C.R., Hurdle J.F., Felgar M.A., Hoffman J.M., Roth B., and Nebeker J.R. Direct text entry in electronic progress notes. An evaluation of input errors. Methods Inf. Med. 42 1 (2003) 61-67
3. Embi P.J., Yackel T.R., Logan J.R., Bowen J.L., Cooney T.G., and Gorman P.N. Impacts of computerized physician documentation in a teaching hospital: perceptions of faculty and resident physicians. J. Am. Med. Inform. Assoc. 11 4 (2004) 300-309
4. U.S. Department of Veterans Affairs, Health information management and health records, VHA Handbook 1907.1, 2004, para 7 (c).
5. Dougherty M. Maintaining a legally sound health record (AHIMA practice brief). J. AHIMA 73 8 (2002) 64A-64G
6. Thomas E.J., and Petersen L.A. Measuring errors and adverse events in health care. J. Gen. Intern. Med. 18 1 (2003) 61-67
7. Sokol A.J., and Molzen C.J. The changing standard of care in medicine. E-health, medical errors, and technology add new obstacles. J. Leg. Med. 23 4 (2002) 449-490
8. Amatayakul M., Brandt M., and Dougherty M. Working smart. Cut, copy, paste: EHR guidelines. J. AHIMA 74 9 (2003) 72-74
9. Dougherty M. Update: Maintaining a legally sound health Record - paper and electronic (AHIMA practice brief). J. AHIMA 76 10 (2005) 64A-64L
10. http://www.turnitin.com, accessed 23 February, 2006.
11. H. Hove, Turnitin.com debate continues at open forum on plagiarism, The McGill Tribune, 4 November, 2003. Available at http://media.www.mcgilltribune.com/media/paper234/news/2003/11/04/News/Turnitin.com.Debate.Continues.At.Open.Forum.On.Plagiarism-547578.shtml?sourcedomain=www.mcgilltribune.com&MIIHost=media.collegepublisher.com, accessed 23 February, 2006.
12. McGill student penalized for not using Internet plagiarism service, CAUT Bulletin Online 50 (2003), November 2003. Available at: http://www.caut.ca/en/bulletin/issues/2003_nov/news/turnitin.asp, accessed 23 February, 2006.