That’s not really the question. The Electronic Medical Record (EMR) train has left the station. The next question is, how accurate and complete are EMRs? Well, there are two different answers to that question. A recent study published in the Journal of the American Medical Informatics Association looked at physician notes from Beaumont Hospital in Royal Oak, Michigan, as they transitioned from a paper-based record system to an EMR system. The net-net: inaccurate documentation was significantly higher in the EMR by a rate of more than 5 to 1 (24.4% error rate with the EMR, 4.4% with paper), but omissions were far more likely with paper notes compared with EMR notes (41.2% vs. 17.6%). Have fun conducting your next RWE project and at your next doctor visit.