Sharing Clinical Notes with Patients: Benefits, Risks, and Challenges-Lecture Presentation

Video Transcription

Video Summary

In this video, Dr. Charlotte Bleas discusses the practice of sharing clinical notes with patients, also known as OpenNotes. She starts by introducing OpenNotes as the practice of sharing electronic medical records, including narrative clinical notes, with patients. Dr. Bleas explains that OpenNotes is not a software or product, but a practice that has been around since a proposal from Schenken and Warner in 1973. She discusses the benefits of OpenNotes, such as increased patient understanding of their healthcare, better patient engagement, and improved medication adherence. Dr. Bleas also addresses the concerns and challenges associated with OpenNotes, including potential harm to patients, changes in documentation practices, and the need for patient and clinician dialogue. She highlights survey findings from both patients and clinicians, which show positive overall perceptions of OpenNotes. Dr. Bleas concludes by discussing the ethical considerations, regulatory landscape, and implementation of OpenNotes, emphasizing the need for clinicians to reconceive clinical notes as a multi-purpose tool and to ensure patient access to their healthcare information.

Keywords

Dr. Charlotte Bleas

OpenNotes

clinical notes

patient engagement

medication adherence

ethical considerations

regulatory landscape

healthcare information