Changes in Documentation After Implementing Open Notes in Mental Health Care: Pre-Post Mixed Methods Study.

ABSTRACT:

Background

The practice of providing patients with digital access to clinical narrative documentation by health care professionals (HCPs) is known as open notes. In mental health care, this innovation has the potential to increase transparency and foster greater trust in the treatment process. While open notes may improve the quality of care and patient engagement, some HCPs are concerned that they may change the nature of clinical documentation and compromise its quality.

Objective

This study aims to examine potential objective and subjective changes in clinical documentation following the implementation of open notes.

Methods

Clinical notes written before and after the implementation of a patient portal with open notes function in 3 psychiatric outpatient clinics in

SUBMITTER: Meier-Diedrich E 

PROVIDER: S-EPMC12444227 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature