We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Viewpoint |

The Role of Copy-and-Paste in the Hospital Electronic Health Record

Ann M. Sheehy, MD, MS1; Daniel J. Weissburg, JD, CHC2; Shannon M. Dean, MD3
[+] Author Affiliations
1Division of Hospital Medicine, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison
2University of Wisconsin Hospital and Clinics, Madison
3Division of Pediatric Hospital Medicine, Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison
JAMA Intern Med. 2014;174(8):1217-1218. doi:10.1001/jamainternmed.2014.2110.
Text Size: A A A
Published online


Before electronic health records: If you did not document it, you did not do it.

After electronic health records: You documented it, but did you do it?

After a slow start, hospitals in the United States have rapidly adopted electronic health records, as encouraged by the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH).1 By May 2013, more than 3800 hospitals, or about 80% of the hospitals that were eligible, had received incentive payments from the Centers for Medicare & Medicaid Services (CMS) related to the adoption, implementation, upgrading, or “meaningful use” of these records.2 Yet the application of electronic health records can be a double-edged sword. Their use can increase efficiency, facilitate information sharing, standardize hospital processes, and improve patient care1,3,4 But their use can also have unintended consequences and be subject to abuse, such as when data are duplicated or templates and checkboxes are used to generate standardized text without a good medical reason.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment
Too much copy and paste
Posted on June 3, 2014
Art Scherer MD
VAMC Spokane
Conflict of Interest: None Declared
Reading a copy and paste note in a chart is often a slow and useless affair. Only the beginning, stating the patients SX and signs,new or changed tests or images,etc, and the end of the note stating what conclusions are drawn and what the provider intends to do about it, are enlightening. In between are paragraphs, and sometime pages, of old copy and pasted data. This is a shame. Slowing down the transfer of the real useful information. Personally I just never copy and paste. Try it. You might like it. And your colleagues will love it!
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

5 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles