Pediatricians have long been at the vanguard of innovation in care delivery, most recently leading efforts in participatory care in multiple areas, such as family-centered rounds. In participatory or collaborative care, patients and their families are properly empowered with information and invited to actively engage in their care. The American Academy of Pediatrics embraced this vision in a 2012 policy statement in which it elaborated that for effective participation by patients, parents, and providers, the sharing of complete health information is essential.1 The expansion of patient portals (electronic sources for patients to view their electronic health record data) has enabled the expedient sharing of more information than previously possible. Laboratory test results and diagnostic studies are part of this information, but clinical documentation (a synthesis of the provider’s thoughts and interpretation of all available data) is what completes the story. OpenNotes is an international movement that was founded in...
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October 2018
Pediatrics Perspectives|
October 01 2018
OpenNotes: Toward a Participatory Pediatric Health System
Chethan Sarabu, MD;
aDivisions of General Pediatrics and
bDepartment of Clinical Informatics, Lucile Packard Children’s Hospital Stanford, Palo Alto, California; and
Address correspondence to Chethan Sarabu, MD, Department of Clinical Informatics, Lucile Packard Children’s Hospital Stanford, 750 Welch Rd, Suite 315, Palo Alto, CA 94304. E-mail: [email protected]
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Natalie Pageler, MD;
Natalie Pageler, MD
cCritical Care Medicine, Department of Pediatrics, School of Medicine, Stanford University, Stanford, California;
bDepartment of Clinical Informatics, Lucile Packard Children’s Hospital Stanford, Palo Alto, California; and
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Fabienne Bourgeois, MD
Fabienne Bourgeois, MD
dDivision of General Pediatrics, Boston Children’s Hospital, Boston, Massachusetts
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Address correspondence to Chethan Sarabu, MD, Department of Clinical Informatics, Lucile Packard Children’s Hospital Stanford, 750 Welch Rd, Suite 315, Palo Alto, CA 94304. E-mail: [email protected]
POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.
FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose.
Pediatrics (2018) 142 (4): e20180601.
Article history
Accepted:
July 06 2018
Citation
Chethan Sarabu, Natalie Pageler, Fabienne Bourgeois; OpenNotes: Toward a Participatory Pediatric Health System. Pediatrics October 2018; 142 (4): e20180601. 10.1542/peds.2018-0601
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