China 
Africa 
Explore chapters and articles related to this topic
Patient–Professional Communication
Published in Richard J. Holden, Rupa S. Valdez, The Patient Factor, 2021
Onur Asan, Bradley H. Crotty, Avishek Choudhury
The use of the second EHR screen is similar to the concept of transparency and “nothing about me without me” that has been the mantra of the OpenNotes concept. OpenNotes is a movement to enable patients to read their clinicians’ progress notes, which include information about the history, examination, and clinician’s assessment and plan (Bell et al., 2015). The concept was initially tested on a wide scale in 2011. In the OpenNotes study, 13,000 patients received access to their notes across three hospitals. The findings showed that patients valued access to their notes far above the expectations of their clinicians, suggesting that clinicians may take data for granted but patients increasingly are seeing direct access as valuable. It is therefore unsurprising that patients also valued the ability to see clinicians create their notes in real time. Also similar to OpenNotes is the concept that clinicians are developing trust in their patients. The future of OpenNotes is shared note creation among patients and clinicians. The second screen may facilitate such future endeavors. However, patient literacy levels, including health and computer literacy specifically, likely will impact benefits experienced by patients (Asan et al., 2014, 2015).
Comparing the Impact of Double and Single Screen Electronic Health Records on Doctor-Patient Non-Verbal Communication
Published in IISE Transactions on Occupational Ergonomics and Human Factors, 2020
Avishek Choudhury, Bradley Crotty, Onur Asan
While United States federal law enables patients to have access to all records, some aspects of documentation are not readily available to patients, such as progress notes, and clinicians have reservations about how useful they would be to patients (Leveille et al., 2012). The “OpenNotes” movement, informed by peer-reviewed research, has allowed patients to gain access to their clinical records. Clinicians, though, have expressed concerns with how to document confidential and sensitive information, including issues such as reproductive health, misattributed paternity, or provider and parent disagreements (Bourgeois et al., 2018). However, OpenNotes has received mostly positive feedback from patients without much materialized concern from participating clinicians (Wolff et al., 2017).