Among 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.

《21 世纪治愈法案》的规定之一是通过临床医生电子健康记录系统的患者门户数字共享临床医生笔记和测试结果。尽管有相当多的证据表明开放式笔记对临床患者有益，并且对初级保健临床医生的明显额外负担最小，但尚未研究急诊科 (ED) 笔记共享。通过更容易获得笔记和结果，ED 患者可能会更好地了解他们的就诊、发现和临床医生的医疗决策，这可能会提高对建议的依从性。患者还可以寻求澄清并要求对其笔记进行编辑。ED 可以开发工作流程来解决患者的问题，而不会给临床医生带来新的过度负担，