Understanding Patient-Reported Offenses in Electronic Health Records: Cross-Sectional Mixed Methods Survey
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By
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Saija Simola
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Sari Kujala
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Åsa Cajander
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Anna Kharko
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Bridget Kane
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Bo Wang
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Rose-Mharie Åhlfeldt
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Maria Hägglund
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May 14, 2026
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Clinical Scorecard: Exploring Patient-Reported Incidents in Electronic Health Records: A Cross-Sectional Mixed Methods Study
At a Glance
| Category | Detail |
|---|
| Condition | |
| Key Mechanisms | Improves communication, participation, satisfaction, and medication adherence; potential for negative emotional responses, including offense. |
| Target Population | |
| Care Setting | |
Key Highlights
- Patients with mental health conditions report greater benefits from EHR access.
- EHR access can lead to negative emotions, particularly among oncologic patients.
- Approximately 11% of patients feel offended by EHR content.
- Healthcare professionals express concerns about sharing sensitive information.
- 82% of Finnish adults have accessed the My Kanta portal at least once.
Guideline-Based Recommendations
Diagnosis
Management
- Provide guidance for healthcare professionals on writing EHR notes to minimize offense, including examples of respectful language.
Monitoring & Follow-up
Risks
Patient & Prescribing Data
Patients accessing EHRs via My Kanta, including those with mental health and chronic conditions.
Access to EHRs can enhance medication adherence and understanding of care.
Clinical Best Practices
- Encourage open communication between patients and healthcare professionals regarding EHR content.
- Train healthcare professionals on the potential emotional impact of EHR information, including specific strategies for addressing sensitive topics.
Related Resources & Content
