2018
DOI: 10.1097/pts.0000000000000494
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Tackling Ambulatory Safety Risks Through Patient Engagement: What 10,000 Patients and Families Say About Safety-Related Knowledge, Behaviors, and Attitudes After Reading Visit Notes

Abstract: Background: Ambulatory safety risks including delayed diagnoses or missed abnormal test results are difficult for clinicians to see, because they often occur in the space between visits. Experts advocate greater patient engagement to improve safety, but strategies are limited. Patient access to clinical notes ("OpenNotes") may help close the safety gap between visits. Methods:We surveyed patients and families who logged on to the patient portal and had at least one ambulatory note available in the past 12 mont… Show more

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Cited by 57 publications
(62 citation statements)
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References 47 publications
(109 reference statements)
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“…7,19 Moreover, this improved trust and associated relational benefits may accrue to both patients and clinicians, resulting in stronger relationships. [19][20][21] Furthermore, more than 3 out of 4 clinicians felt that knowing which of their patients had reviewed their notes would be helpful. To our knowledge, none of the major electronic health record vendors offer such functionality routinely.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…7,19 Moreover, this improved trust and associated relational benefits may accrue to both patients and clinicians, resulting in stronger relationships. [19][20][21] Furthermore, more than 3 out of 4 clinicians felt that knowing which of their patients had reviewed their notes would be helpful. To our knowledge, none of the major electronic health record vendors offer such functionality routinely.…”
Section: Discussionmentioning
confidence: 99%
“…8 318 (4) . (22) 50 (20) 118 (22) 85 (22) 81 (21) 102 (20) 59 (24) 50 (17) 111 (23) Abbreviation: PCP, primary care physician.…”
Section: Open Notes and Documentation Of Physician Encountersmentioning
confidence: 99%
“…7,[12][13][14][15] Cultural shifts toward transparency along with nationwide growth of secure electronic patient Reading open notes may be associated with enhanced patient engagement and with improved patient safety and care quality. 11,[17][18][19][20][21][22][23][24] Patients reported that they understand notes and that reading notes helps them remember next steps (such as tests and referrals). 18,21 They also reported that note reading enables timely follow-up of results and supports family or friend care partners with information.…”
Section: Introductionmentioning
confidence: 99%
“…11,[17][18][19][20][21][22][23][24] Patients reported that they understand notes and that reading notes helps them remember next steps (such as tests and referrals). 18,21 They also reported that note reading enables timely follow-up of results and supports family or friend care partners with information. 18,20,21,25,26 In addition, sharing notes with patients creates a new mechanism for patients to identify documentation errors.…”
Section: Introductionmentioning
confidence: 99%
“…Comparable studies from within the OpenNotes initiative have shown that physicians and patients experienced relational benefits when medical notes were shared. 18 Furthermore, Bell et al 19 have shown that access to EHRs can forge stronger partnerships with healthcare professionals and increase patient satisfaction with doctor-patient communication. 20 A study by Esch et al 20 have also shown that access to notes improved adherence to medical advice and self-care.…”
Section: Introductionmentioning
confidence: 99%