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the role of electronic health records or EHRs as a contributing factor to malpractice claims has increased over the past three years with copy-and-paste errors appearing in 14% of these claims these cases from the doctors companys EHR closed claims study illustrate that danger a 35 year old male presented to the doctor for medical clearance an ECG showed normal sinus rhythm normal chest x-ray heartrate 78 and BP 124 over 78 three months later he returned to the office complaining of chest pain shortness of breath and dizziness his BP was 112 over 90 and pulse 106 five days later he died from pulmonary embolism due to deep vein thrombosis defense experts questioned whether the physician had done a complete assessment because the progress note from the most recent visit appeared identical to the prior visits progress note including the same spelling errors suggesting that the note had been copied and pasted the physical medicine physician followed a patient with extremity weakness due