Bell S, Folcarelli P, Anselmo M. et al., Connecting Patients and Clinicians: The Anticipated Effects of Open Notes on Patient Safety and Quality of Care. The Joint Commission Journal on Quality and Patient Safety 2015;41(8):378-84.
The OpenNotes movement began in 2010 with the goal of fostering patient engagement in care and enhancing communication among patients, families, and clinicians. In a demonstration and evaluation study, 105 primary care physicians in three cities collectively invited 20,000 of their patients to read their visit notes through a secure electronic portal. After the first year, patients reported many benefits, including feeling more in control of their health, being more prepared for visits, and taking their medications with greater adherence. Physicians saw benefits with little burden, and none chose to stop participating when the pilot ended. Today, the OpenNotes movement has grown from 20,000 patients to about 5 million patients at multiple health care institutions nationwide.
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