Gustav From, Martin Sølvkjær & Jørgen Bansler:
Copy and paste in electronic health records
Ugeskr Læger 2019;181:V12180848
In this review, the use of copy-paste (CP) in electronic health records is discussed. CP was introduced in the health sector of USA as a means to reduce the time spent on writing clinical notes. However, CP poses risks to patient safety and the quality of documentation. American stakeholders, including government authorities, accreditation bodies, medical associations, hospitals, and vendors of electronic health record software, have developed strategies to cope with these challenges. As we describe, CP is not yet a recognised problem in Denmark, although it potentially could become one. Hence, means to monitor and counter the challenges associated with CP in a Danish context should be considered.