• Nicholas Genes, Bruce Darrow, Mahima Vijayaraghavan, and Donald W Rucker.
• Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY; Information Technology, Mount Sinai Health System, New York, NY. Electronic address: nicholas.genes@mssm.edu.
• Ann Emerg Med. 2022 Jan 1; 79 (1): 7-12.

AbstractAmong the provisions of the 21st Century Cures Act is the mandate for digital sharing of clinician notes and test results through the patient portal of the clinician's electronic health record system. Although there is considerable evidence of the benefit to clinic patients from open notes and minimal apparent additional burden to primary care clinicians, emergency department (ED) note sharing has not been studied. With easier access to notes and results, ED patients may have an enhanced understanding of their visit, findings, and clinician's medical decisionmaking, which may improve adherence to recommendations. Patients may also seek clarifications and request edits to their notes. EDs can develop workflows to address patient concerns without placing new undue burden on clinicians, helping to realize the benefits of sharing notes and test results digitally.Copyright © 2021 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

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