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 “Faster Notes” Won’t Fix Cognitive Overload
Notes that write themselves are handy—but they don’t cure information overload. Clinicians still scroll through dozens of encounters to recover context. In this post we unpack why “faster notes” isn’t enough, show how persistent, problem-oriented threads cut cognitive load, and share what we’re building at River Records to keep every detail—labs, meds, follow-ups—exactly where you need it, every time.
The Real Cost of Note Bloat: Clinical Clarity at Risk
Medical documentation is a clinical act, not just a clerical task. Learn why note bloat undermines patient care and how clinicians can rebuild clean, useful, clinically-driven notes through thoughtful, evidence-informed practices.
Notes Are Deadweight. Clinical Context Is the Future.
For years, the clinical note has been treated as the centerpiece of medical documentation. But in practice, it’s become a relic of a paper-based past—bloated with repetition, slow to navigate, and ill-suited to the way clinicians actually think. At River Records, we’re reimagining documentation not as a series of static notes, but as a living, structured reflection of the patient. By organizing everything around medical problems rather than encounters, Stream gives clinicians the context they need without forcing them to dig through layers of outdated text. The result is faster reviews, clearer updates, and documentation that actually supports care.
Building Toward Patient-Level Representation
Nicely organized, problem oriented medical problems with Recap are a breeze to read, update, and leverage in clinic for more informed decision making.
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.