The "SOAP" -- subjective, objective, assessment, plan -- format has been in common use for decades as a way of organizing physician progress notes in medical records, but it was created during a ...

EHR progress notes are intended to do just what they sound like — give physicians a chance to provide an updated analysis of a patient’s condition and progress. For clinicians, the laborious process ...

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 ...

Traditional clinical documentation can consume up to 20 minutes per session—a timesuck that quickly compounds over weeks and months. Dr. Dionne Mahaffey, an interdisciplinary entrepreneur, founded ...

Despite the risks associated with copying and pasting patient information into EHRs, new research shows more than 80% of the text in progress notes is either carried over or imported by clinicians.

In this study, the authors demonstrate widespread adoption and satisfaction with the novel APSO (Assessment, Plan, Subjective, Objective) format for progress notes at a large, integrated health ...

The new per-user add-on brings structured AI clinical documentation into Notes, Documents, and Assessments, giving Canadian therapists, physiotherapists, and allied health professionals a flexible and ...

Alma is a company that helps mental health professionals run their practices. Its membership-based network gives providers access to tools and software to help them run their practices. Now, it’s is ...