Background: Duplicate medical records, where one patient possesses multiple medical record numbers and corresponding charts within a single electronic health record (EHR), pose significant patient safety risks due to incomplete data and repeated interventions, among other areas. The risk is amplified for patients admitted to the hospital, where rapid pace decision making is the norm. […]

Background: The importance of accurate patient care records for effective communication and medical education is well documented. However, medical documentation as a tool for financial compensation is not emphasized in graduate medical education. We performed a review and analysis of resident charting errors during inpatient rotations to determine the potential revenue loss and economic impact. […]

Background: While hospitalists pursue a primarily clinical role, we have carved a niche in clinical research, particularly Quality Improvement based research. However, clinical research often involves time intensive chart review, which can become a barrier to hospitalists with heavy clinical roles. A mechanism to mitigate this will be revolutionary. Purpose: In this innovations abstract, we […]