Streamlining Electronic Medical Records: Remove the Copy-Forward Option

Authors: Bruce F. Farber, MD, Vasupradha Vethantham, PhD, Prashant Malhotra, MD


Documentation and record keeping constitute a key feature of modern health care, often requiring more than half of the physician’s time during a patient visit.1 Electronic medical records (EMRs) have replaced handwritten notes and laboratory data printouts and have revolutionized patient record keeping in the last decade. The main advantage of EMRs is that patient information is contained in a centralized system and is easily accessed by multiple healthcare providers (HCPs), who can update information in a single patient record simultaneously.

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1. Neri PM, Redden L, Poole S, et al. Emergency medicine resident physicians' perceptions of electronic documentation and workflow: a mixed methods study. Appl Clin Inform 2015;6:27–41. 2. Jetelina KK, Woodson TT, Gunn R, et al. Evaluation of an electronic health record (EHR) tool for integrated behavioral health in primary care. J Am Board Fam Med 2018;31:712–23. 3. Merrill J, Phillips A, Keeling J, et al. Effects of automated immunization registry reporting via an electronic health record deployed in community practice settings. Appl Clin Inform 2013;4:267–275. 4. Harrington L. Copy-forward in electronic health records: lipstick on a pig. Jt Comm J Qual Patient Saf 2017;43:371–374. 5. Tsou AY, Lehmann CU, Michel J, et al. Safe practices for copy and paste in the EHR. Systematic review, recommendations, and novel model for health IT collaboration. Appl Clin Inform 2017;8:12–34. 6. Shanafelt TD, Dyrbye LN, Sinsky C, et al. Relationship between clerical burden and characteristics of the electronic environment with physician burnout and professional satisfaction. Mayo Clin Proc 2016;91:836–848. 7. Centers for Medicare & Medicaid Services. Proposed policy, payment, and quality provisions changes to the Medicare physician fee schedule for calendar year 2019. Accessed August 3, 2020.