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Brug af copy and paste i elektroniske patientjournaler

Gustav From1, Martin Sølvkjær2 & Jørgen Bansler3
1) Abdominalcenter K, Bispebjerg Hospital 2) Center for IT, Medico og Tele, Region Hovedstaden 3) Datalogisk Institut, Københavns Universitet

Ugeskr Læger 2019;181:V12180848

Ugeskr Læger 2019;181:V12180848
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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.

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