
Insights from the Front Lines of Medical Documentation
We explore the root causes of information chaos, designing for clarity, and the thoughtful application of AI in medicine.

Why Clinicians Copy-Paste: Designing for Persistence, Not Duplication
Clinicians aren’t copy-pasting out of laziness. They’re trying to preserve clinical context that still matters. In this post, we explore how our research into duplication in the EHR led us to rethink documentation persistence and build Problem Link, a feature that keeps medical problems connected over time.

Our Approach to Clinical Documentation: A Philosophical Shift
At River Records, we believe documentation shouldn’t start from a blank page every time. Clinical care is continuous, and the record should reflect that. In this post, we share the philosophy behind Stream—our AI-powered, problem-oriented documentation platform—and explain why copy-paste behavior is not clinician error, but a system failure begging for a better solution.

Why EHRs Are Causing “Note Bloat”—And How We Can Fix It
It’s time to rethink documentation to avoid “note bloat” and bring focus back to what really matters in patient care.

Prevalence and Sources of Duplicate Information in the Electronic Medical Record
The prevalence of information duplication (copy-paste) in electronic medical records (EMRs) suggests that it is an adaptive behavior requiring further investigation so that improved documentation systems can be developed.