title: Physicians' attitudes towards copy and pasting in electronic note writing.
abstract: BACKGROUND
  The ability to copy and paste text within computerized physician documentation facilitates electronic note writing, but may affect the quality of physician notes and patient care. Little is known about physicians' collective experience with the copy and paste function (CPF).
  
  
  OBJECTIVE
  To determine physicians' CPF use, perceptions of its impact on notes and patient care, and opinions regarding its future use.
  
  
  METHODS
  Cross-sectional survey.
  
  
  METHODS
  Resident and faculty physicians within two affiliated academic medical centers currently using a computerized documentation system.
  
  
  METHODS
  Responses on a self-administered survey.
  
  
  RESULTS
  A total of 315 (70%) of 451 eligible physicians responded to the survey. Of the 253 (80%) physicians who wrote inpatient notes electronically, 226 (90%) used CPF, and 177 (70%) used it almost always or most of the time when writing daily progress notes. While noting that inconsistencies (71%) and outdated information (71%) were more common in notes containing copy and pasted text, few physicians felt that CPF had a negative impact on patient documentation (19%) or led to mistakes in patient care (24%). The majority of physicians (80%) wanted to continue to use CPF.
  
  
  CONCLUSIONS
  Although recognizing deficits in notes written using CPF, the majority of physicians used CPF to write notes and did not perceive an overall negative impact on physician documentation or patient care. Further studies of the effects of electronic note writing on the quality and safety of patient care are required.
authors.affiliation: Department of Public Health, Weill Cornell Medical College, New York, NY, USA. hodonnel@montefiore.org
authors.forename: Heather C
authors.initials: HC
authors.lastname: O'Donnell
authors.forename: Rainu
authors.initials: R
authors.lastname: Kaushal
authors.forename: Yolanda
authors.initials: Y
authors.lastname: Barrón
authors.forename: Mark A
authors.initials: MA
authors.lastname: Callahan
authors.forename: Ronald D
authors.initials: RD
authors.lastname: Adelman
authors.forename: Eugenia L
authors.initials: EL
authors.lastname: Siegler
mesh_terms: D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D034201:Computers, Handheld / Q000639:trends; D003430:Cross-Sectional Studies; D055695:Electronic Prescribing; D005260:Female; D006801:Humans; D008297:Male; D016347:Medical Records Systems, Computerized / Q000639:trends; D010820:Physicians / Q000523:psychology* / Q000639:trends; D014956:Writing