Rahimian M, Warner J, Salmi L, et al. Open notes sounds great, but will a provider’s documentation change? An exploratory study of the effect of open notes on oncology documentation, JAMIA Open, Volume 4, Issue 3, July 2021, ooab051.
doi: https://doi.org/10.1093/jamiaopen/ooab051
This study evaluated whether implementing open notes at a large academic medical center was associated with changes in measures of the length and readability of progress notes written by hematology/oncology clinicians. After the implementation of open notes, progress notes and A&P sections became both longer and easier to read. This suggests clinician documenters may be responding to the perceived pressures of a transparent medical records environment.
