Clinical documentation is the foundation of safe, effective, and compliant care. From progress notes to treatment plans, well-structured records maintain continuity, support accurate coding, and meet ...

Learn more about the quality of clinical notes from clinicians and AI scribes, according to a 2026 study across five care scenarios.

Clinical documentation is more than just paperwork—it’s the backbone of quality behavioral health care. From SOAP to DAP formats, clear and compliant notes ensure continuity of care, legal protection, ...

Ambient clinical documentation was the talk of the HIMSS conference this year, where more than 30,000 health and tech professionals gathered in Orlando, Florida. The technology allows doctors to ...

A dual team study of notes written by 166,318 outpatient providers in the U.S. from May 2020 to April 2023 published by Epic Research on Thursday examined how coding requirements and documentation ...

Reduction in unplanned episodes of care, such as emergency department visits and unplanned hospitalizations, are important quality outcome measures. However, many events are only documented in ...

A new study out in The Lancet shows how incorporating artificial intelligence (AI) into routine practice may result in the “deskilling” of clinicians. After sustained exposure to an adenoma detection ...