Saul J Weiner, Shiyuan Wang, Brendan Kelly, Gunjan Sharma, Alan Schwartz: Accurate documentation in the medical record is essential for quality care; extensive documentation is required for reimbursement. At times, these 2 imperatives conflict. We explored the concordance of information documented in the medical record with a gold standard measure. Materials and Methods We compared … Continue reading How accurate is the medical record? A comparison of the physician’s note with a concealed audio recording in unannounced standardized patient encounters