Difference between revisions of "Progress Note"

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A '''progress note''' is a document in the medical record that is copied and pasted over and over again so that all '''progress notes''' look exactly the same<ref>[http://gomerblog.com/2014/10/hospitalist-2/ Hospitalist Abusing Copy and Paste in Paper Charts]</ref><ref>[http://gomerblog.com/2015/08/surgery-resident/ Surgery Resident Successfully Writes an Entire Consult Note Using Only Copy-and-Paste]</ref>, which is worth it even if the case goes to court because doing so saved valuable time.  Two exceptions are the Ortho progress note, which is often blank to 3 words long<ref>[http://gomerblog.com/2014/12/soap-note/ Ortho Writes Perfect SOAP Note, First No-Worder This Year]</ref><ref>[http://gomerblog.com/2015/09/orthopaedics-progress-notes/ Orthopaedics to Begin to Use Emojis in Progress Notes]</ref>, and the Ophtho progress note, which has been until now indecipherable until the discovery of a missing [[Rosetta Stone]] fragment.<ref>[http://gomerblog.com/2016/06/rosetta-stone-ophtho-notes/ Rosetta Stone Unlocks Mystery of Ophtho Notes]</ref>  
 
 
A '''progress note''' is a document in the medical record that is copied and pasted over and over again so that all '''progress notes''' look exactly the same<ref>[http://gomerblog.com/2014/10/hospitalist-2/ Hospitalist Abusing Copy and Paste in Paper Charts (Gomerblog)]</ref><ref>[http://gomerblog.com/2015/08/surgery-resident/ Surgery Resident Successfully Writes an Entire Consult Note Using Only Copy-and-Paste (Gomerblog)]</ref>, which is worth it even if the case goes to court because doing so saved valuable time.  Two exceptions are the Ortho progress note, which is often blank to 3 words long<ref>[http://gomerblog.com/2014/12/soap-note/ Ortho Writes Perfect SOAP Note, First No-Worder This Year (Gomerblog)]</ref><ref>[http://gomerblog.com/2015/09/orthopaedics-progress-notes/ Orthopaedics to Begin to Use Emojis in Progress Notes (Gomerblog)]</ref>, and the Ophtho progress note, which has been until now indecipherable until the discovery of a missing [[Rosetta Stone]] fragment.<ref>[http://gomerblog.com/2016/06/rosetta-stone-ophtho-notes/ Rosetta Stone Unlocks Mystery of Ophtho Notes (Gomerblog)]</ref>  
 
 
 
 
 
'''Fun Fact'''
 
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Did you know that the United States [[Surgeon General]] has to [[Rounds|round]] on 320 million Americans every day and write '''progress notes''' on each and every one of them?!<ref>[http://gomerblog.com/2016/12/surgeon-general-murthy-notes-rounding/ Surgeon General Finishes Rounding on 320 Million Americans, Dreads Writing Notes (Gomerblog)]</ref>
 
 
 
 
 
'''Related Documentation'''
 
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* [[H&P]]
 
* [[Discharge Haiku]]
 
* [[Is it a good idea to read my progress note during a poetry slam open mic?]]
 
* [[Letter of Recommendation]]
 
* [[Note Bloat]]
 
* [[Regress Note]]
 
* [[Soap Note]]
 
* [[Work Excuse]]
 
  
  

Revision as of 11:51, 26 July 2016

A progress note is a document in the medical record that is copied and pasted over and over again so that all progress notes look exactly the same[1][2], which is worth it even if the case goes to court because doing so saved valuable time. Two exceptions are the Ortho progress note, which is often blank to 3 words long[3][4], and the Ophtho progress note, which has been until now indecipherable until the discovery of a missing Rosetta Stone fragment.[5]


References


  1. Hospitalist Abusing Copy and Paste in Paper Charts
  2. Surgery Resident Successfully Writes an Entire Consult Note Using Only Copy-and-Paste
  3. Ortho Writes Perfect SOAP Note, First No-Worder This Year
  4. Orthopaedics to Begin to Use Emojis in Progress Notes
  5. Rosetta Stone Unlocks Mystery of Ophtho Notes


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