What your patient says may not be what is recorded in the chart note.

In a study published in JAMA Ophthalmology, researchers compared symptoms that 162 patients checked off on paper-based questionnaires with the information entered in patients’ electronic charts (EMR).  The results?  A lot of discrepancies.
–33% of the time, data on blurry vision from the paper questionnaires didn’t match the EMR
–48% didn’t match for glare
–27% didn’t match for pain
–25% didn’t match for redness
The authors state that given that EMR’s are widely used to extract data, the “implications of capturing patient data in the most accurate way becomes much more imperative”. (via)

Jaclyn Garlich
Dr. Garlich graduated from the New England College of Optometry in 2010 and completed a residency in primary care and ocular disease at the St. Louis VA. In 2013, she developed an optometry clinical reference mobile app available in the iTunes store. In 2016, she founded 20/20 Glance, a weekly optometry newsletter that gives a rundown on clinically relevant optometry news in an easy to digest format.

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