Wisconsin hospitals are participating in a new program that aims to help increase access to notes that doctors write about their interactions with patients.
healthcare quality improvement
Tom Delbanco, co-founder of OpenNotes, and Koplow-Tullis professor of general medicine and primary care at Harvard Medical School discusses the origins of “PeoplePower” and the..
In preparation for the safety initiative, we drew on the safety themes that emerged from the original OpenNotes study and further explored patient safety topics in focus groups conducted in April and May 2013. Drawing on surveys, focus groups, and our experience during the last five years, in this article we reflect on theoretical risks and benefits to safety and quality through three emergent overarching questions, as follows:
How do patients and providers view the potential effects of open notes on patient safety and quality of care?
How do physicians anticipate reacting to mistakes that patients find in the notes?
What are the potential implications of shared visit notes for institutional disclosure, education, and patient engagement programs?
The move to offer patients online access to their clinicians’ notes is accelerating and holds promise of supporting more truly collaborative relationships between patients and clinicians, say Jan Walker, Michael Meltsner, and Tom Delbanco
For decades clinicians have experimented with making medical records available to patients.1 2 3 4 5 6 Now electronic medical records and associated secure internet portals provide patients the opportunity to view test results, medications, and other selected parts of the medical record on line.7 But few patients are offered full access to their records; clinicians’ notes are rarely visible. After a demonstration project showed the acceptability of OpenNotes (www.myopennotes.org) in the US,8 several prominent healthcare providers decided to make clinicians’ notes available to patients online before further formal evaluation. We describe the OpenNotes movement in the US and how sharing notes with patients is spreading. We also underline the case for research to assess the long term effect of sharing notes and the potential to foster improved and truly collaborative care.