Comment on Missed diagnosis visceral leishmaniasis: a tragedy of note bloat by southerndoc1

Summary: In response to a tragic case where a diagnosis of visceral leishmaniasis was missed due to cluttered medical records, a commenter challenges the fundamental design of Electronic Medical Records (EMRs). The user questions why the "copy and paste" function exists at all in medical software, identifying it as the root cause of "note bloat"—a phenomenon where vital patient changes are buried under duplicated, outdated text, leading to dangerous oversight.

For more details, see KevinMD at kevinmd.com/2026/02/missed-diagnosis-visceral-leishmaniasis-a-tragedy-of-note-bloat.html#comment-515069 (opens in new tab)

Tags

Leishmaniasis, Visceral
Leishmaniasis
Ointments
Missed Diagnosis