The Optometrist and the Eye Exam: More Precise Notes Without Losing Flow
The phoropter rotates between +0.25 and −0.25, you ask, «Is it clearer now or then?», and the patient is still wondering whether to drive or take the bus…
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Tag: documentation
How to Write a Good Journal Entry – and How AI Can Help
A good note isn't the longest. It's the one that answers the question: «What happened with the patient today, and what's next..."
The Ophthalmologist and Outpatient Clinic: Precise Documentation in a High-Throughput Practice
Slit lamp in one hand, OCT images on the next screen, a patient wondering if she should be worried. The consultation is short, the examinations many – and…
When the GP delegates: The nurse as the new medical record keeper in general practice
You are sitting with the patient in front of you, a task delegated to you by the general practitioner, and a notebook that will show what happened – and why…
Burnout among healthcare professionals: When documentation is the last straw
It's rarely one big event that gets you. It's the last hour of the day, with ten notes waiting, after the patients...
ENT Doctor and Consultation: Documentation in a Busy Specialist Practice
Otoscope in one hand, endoscope in the other, and a patient waiting for answers. The consultation is short, the examination hands-on – and yet the chart needs to be...
The Manual Therapist and Referral Rights: More Responsibility, More Documentation
You are the first line for musculoskeletal disorders. The patient comes directly to you, and you are the one who assesses whether imaging is appropriate, whether…
What happens to the journal entry when it is shifted throughout the workday?
It's rarely the big scandals that create everyday problems in the chart. It's the displacement—the minutes and hours between consultation and note—that sets...
The psychologist who stopped writing notes at night
It's 9:30 PM. You're sitting at the kitchen table with your laptop, trying to remember what the patient said at 10 AM this morning. There's a way out that...
As Scandinavia debates the journal system: What you can do in your clinic – regardless of the outcome
Apotti in Finland. Millennium in Region Skåne. Helseplattformen in Norway. Three Nordic neighbors all have a major EHR case on their hands simultaneously – and you're right in the middle...
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