Skriber Journal
Welcome to the Skriber Journal
Our mission is to empower clinicians with timely, actionable insights focused on the intersection of AI scribing, regulatory compliance, and practice optimization.
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Hours Recovered Annually. Our expert strategies show you how to reclaim hours per year.
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Reduction in Documentation Time. Learn methods used by top practices to slash daily documentation time by over 50%.
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Charting Accuracy Rate. Articles focused on achieving near-perfect chart quality and ensuring every SOAP note and code is 99% accurate.
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Specialties Covered. Explore case studies and integration guides for over 35+ medical specialties.
Best Note-Taking App for Therapists 2026 (Tested by Therapists)
Therapy is rewarding work, but the paperwork is a lot. Progress notes, treatment plans, and client records can steal hours...
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Clinical Evidence
Clinical evidence is the foundation of modern healthcare. Every diagnosis, treatment plan, medication, therapy intervention, and patient care decision should...
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EHR Evaluation Checklist
If you work in a doctor’s office, a clinic, or a hospital, you already know how important health records are....
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EHR Implementation
An EHR (Electronic Health Record) is a digital version of a patient’s paper chart. It holds medical history, test results,...
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Best AI DAP Note Generator 2026
Clinical documentation is one of the biggest challenges in modern healthcare. Therapists, psychiatrists, psychologists, physicians, nurses, counselors, social workers, and...
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The Best AI BIRP Note Generator 2026
If you are a therapist, psychiatrist, doctor, or nurse, you know how much time writing notes takes. You likely spend...
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Best AI ABA Session Notes Generator 2026
As a professional in Applied Behavior Analysis (ABA), you know that writing session notes is an important part of the...
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The Best AI Progress Note Generator 2026
Healthcare professionals spend a huge amount of time writing notes. Therapists finish sessions and still need to complete progress notes....
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Psychotherapy Notes vs. Progress Notes
If you have ever felt confused about the difference between psychotherapy notes and progress notes, you are not alone. Many...
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Mental Status Exam (MSE) Cheat Sheet: Checklist & Examples
When a patient comes to see us, we check their blood pressure and listen to their heart. But we also...
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2026 ICD-10 Diagnosis Code F41.1: Generalized Anxiety Disorder (GAD)
We see patients every day who feel worried all the time. They cannot seem to turn off their anxious thoughts....
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SOAP Notes vs DAP Notes
As a healthcare professional, you write notes every day. These notes tell the story of your patient’s care. Good notes help...
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H&P vs SOAP Notes
Let’s be honest. Nobody went to medical school because they loved writing notes. You went to school to help people...
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BIRP vs SOAP Notes
Let’s be honest. You did not become a nurse, therapist, doctor, or counselor because you love paperwork. You became a...
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2026 ICD-10 Diagnosis Code I50.2: Heart Failure with Reduced Ejection Fraction (HFrEF)
Why Getting This Code Right Matters More Than You Think As healthcare professionals, we know that heart failure is not...
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2026 ICD-10 Diagnosis Code Z91.81: History of Falls
Falls are a big problem in healthcare. Many patients, especially older adults, fall at home or in hospitals. When a...
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2026 ICD-10 Diagnosis Code M54.12: Cervical Radiculopathy
Why This Code Matters in Your Daily Practice As a healthcare professional, you know that coding is not just about...
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2026 ICD-10 Diagnosis Code J45.909: Reactive Airway Disease
You have seen the term “Reactive Airway Disease” or RAD on patient charts many times. It is a common phrase...
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2026 ICD-10 Diagnosis Code K52.9: Chronic Diarrhea
For medical coders, gastroenterologists, and primary care providers, few ICD-10 codes appear as frequently, or cause as much confusion, as...
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2026 ICD-10 Diagnosis Code E87.6: Hypokalemia
What Is Hypokalemia? Hypokalemia is a medical term that means your patient has too little potassium in their blood. Potassium...
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2026 ICD-10 Diagnosis Code R06.02: Shortness of Breath
You see shortness of breath every day. It is one of the most common reasons patients come to the ER,...
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2026 ICD-10 Diagnosis Code M54.16: Lumbar Radiculopathy
You see patients with leg pain every day. They tell you about a burning feeling that starts in their low...
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2026 ICD-10 Diagnosis Code G62.9: Peripheral Neuropathy
As healthcare professionals healthcare, we spend years learning about nerves, muscles, and how the body talks to itself. We learn to...
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2026 ICD-10 Diagnosis Code R74.01: Transaminitis
Have you ever looked at a lab report and seen high liver enzyme numbers? Your first thought might be “something...
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Advantages and Disadvantages of Electronic Health Records
If you work in a clinic, a hospital, or even a home health agency, you spend more time with your...
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History of Electronic Health Records: A Simple Timeline for Healthcare Professionals (Then, Now, Future)
If you work in healthcare, whether you are a doctor, a nurse, a medical assistant, or someone at the front...
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SBAR Tool (Situation, Background, Assessment, Recommendation) (with Examples)
If you work in healthcare, you know how scary it can be to share important news about a patient. What...
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Source-Oriented Medical Record (SOMR)
What Is a Source-Oriented Medical Record? A Source-Oriented Medical Record (SOMR) is a way to organize a patient’s medical information....
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Problem-Oriented Medical Record (POMR)
If you work in healthcare or are studying to be a doctor, nurse, or medical assistant, you know one thing...
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Charting by Exception
If you have been a nurse for even one shift, you know this truth: charting takes forever. You finish giving...
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Occupational Therapy Documentation (OT Notes): with Examples and Cheat Sheet
As an occupational therapist, you help people do the things they want and need to do every day. But after...
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History Taking
As a clinician with years of experience, I can tell you that the most powerful tool I own is not...
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Clinical Documentation Improvement (CDI)
Let’s be honest for a moment. When was the last time you finished a patient encounter and felt a deep...
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DAR Notes
If you are a new nurse or a nursing student, you have probably heard the words “charting” or “documentation” more...
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Narrative Notes
As a nurse, your hands do a thousand things in a shift. You start IVs, you hold a patient’s hand,...
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SIRP Notes
If you work in mental health, you know that note-taking is part of the job. You see clients, you help them, and...
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GIRP Notes (with Examples)
Writing notes during or after a therapy session can feel like a lot of work. We spend our days connecting...
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How to Write PIRP Notes (with Examples)
Clinical documentation is often the most dreaded part of our work. You finish a meaningful session, and then comes the...
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PIE Notes (with Examples)
Let’s be honest for a second. How do you feel when you have to sit down and write your progress...
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Progress Notes
If you work in healthcare, you know that paperwork is a big part of the job. One of the most...
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BIRP Notes (with Examples)
As a clinician, I know that writing notes is probably not your favorite part of the job. It can feel...
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DAP Notes
As clinicians, we chose this path to help people. We want to listen to our clients, help them work through...
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Doctor’s Note (with Template & Examples)
A doctor’s note is a short medical document written by a doctor or another licensed healthcare professional. It explains a patient’s health...
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Psychiatric Nursing Notes (with Examples)
Writing nursing notes is a big part of every psychiatric nurse’s day. Some nurses enjoy the documentation process. Others find...
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General Anxiety Disorder – Seven Item (GAD-7)
If you work with patients, you deal with anxiety every single day. It hides behind headaches. It fuels high blood...
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How to Write a Good Discharge Summary Note (with Examples)
As medical professionals, we spend a lot of time focusing on the beginning of a patient’s journey with us: the...
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How to Write ABA Notes (with Examples)
If you work in Applied Behavior Analysis (ABA), you have probably heard the saying: “If it isn’t written down, it didn’t...
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Mental Status Examination (MSE)
If you work in healthcare, whether you’re a psychiatrist, nurse, a medical student, a resident, or a social worker, you’ve...
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Patient Health Questionnaire (PHQ-9)
As clinicians, we are always looking for tools that help us understand our patients better. We need ways to measure...
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The Clinician’s Guide to Building Effective Treatment Plans
Whether you’re a therapist, a social worker, a nurse, or a doctor, you write treatment plans. It might feel like...
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SOCRATES (Pain Assessment)
Have you ever had a patient try to describe their pain, and it just comes out as a confusing jumble...
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Trauma SOAP Notes (with Examples)
Trauma is one of the most common reasons people seek therapy, counseling, and mental health support. Many clients experience trauma...
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Social History (medicine) SocHx
As a medical professional, I understand that we often rush through the “SocHx” portion of our H&P. We might jot...
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SAMPLE History
Why SAMPLE History Matters If you work in healthcare, you know that time is often not on your side. Whether...
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OPQRST
Why Asking the Right Questions Matters As medical professionals, we know that a patient’s story holds the answers. Often, the...
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Best AI Scribe for Psychiatry (2026)
Being a psychiatrist is tough. You listen, you care, you solve deep problems. But then comes the paperwork. Notes, treatment...
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Vital Signs (with Examples & Template)
Think of vital signs as the body’s most basic news report. Before a patient says a word about their headache,...
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Anxiety SOAP Notes (with Example)
As healthcare professionals, in our work, we see many patients struggling with anxiety. It is a common condition. It can be...
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SOAPIE Charting (with Examples)
If you work in healthcare, you know that good communication is everything. What we write in a patient’s chart is...
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OLD CARTS
When a patient comes to you, they bring more than just a symptom. They bring a story. This story holds...
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SOAP Notes (with Examples & Template)
As healthcare professionals, our primary mission is clear: to understand our patients and guide them toward better health. Yet, in...
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Past Medical History (PMH)
Today, we are going to talk about one of the most important parts of our job. It is not a...
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Top 10 AI SOAP Note Tools in 2026 (Reviewed by Real Clinicians)
Tired of spending hours each night writing notes instead of being with family? You’re not alone. Doctors, therapists, and medical...
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Depression SOAP Note Example
Let’s talk about depression. It’s not just feeling sad for a day. It is a real medical condition. It affects...
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Skriber Joins Forces with Athenahealth, Redefining the Physician-Workflow Standard
As healthcare continues to change, the smooth flow of information is not just a convenience; it’s an important component of patient...
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Biopsychosocial Assessment (with Examples)
Introduction: Seeing the Whole Person When a patient walks into your office, what do you see? You see their symptoms....
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Skriber & eClinicalWorks Integration: A New Era of Automated Charting
In healthcare documentation, the most valuable currency isn’t money; it’s time. The new integration between Skriber and eClinicalWorks directly deposits...
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Chief Complaint (CC)
Imagine you walk into a doctor’s office. You are feeling sick. You have many things to say. Your head hurts....
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History of Present Illness (HPI)
The History of Present Illness (HPI) is the heart and soul of any medical visit. It’s a detailed, chronological narrative...
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History and Physical (H&P): Your Most Powerful Medical Tool
What is an H&P, and Why is it So Important? Imagine you are a detective. A crime has happened, and...
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Clinical Words to Use in Progress Notes
Progress notes are a part of everyday clinical work. They tell the ongoing story of a patient’s care and progress....
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The 10 BEST AI Scribes (2026)
AI medical scribes have moved from early experimentation to everyday clinical tools. In 2026, clinicians are no longer asking whether to use...
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How to write Psychiatry Notes (with Examples)
Psychiatry notes are one of the most important tools in mental health care. They help psychiatrists record patient symptoms, clinical...
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SOAP Notes Plan (with Examples)
SOAP notes are one of the most widely used clinical documentation formats in healthcare. They help professionals record patient information...
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SOAP Notes in Physiotherapy (with Examples)
SOAP notes are one of the most important documentation tools used in physiotherapy practice. They provide a clear and structured...
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Acupuncture SOAP Notes (with Examples)
SOAP notes are a simple and clear way to document patient care. In acupuncture practice, SOAP notes help track symptoms,...
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SOAP Notes for Asthma (with Examples)
Asthma is a long-term breathing condition that affects the airways of the lungs. People with asthma have sensitive airways that...
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Orthopedic SOAP Notes (with Examples)
Orthopedic care focuses on bones, joints, muscles, ligaments, and movement. Every orthopedic visit depends on clear and accurate documentation. One...
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The Best HIPAA Compliant Dictation Software
Healthcare work today moves very fast. Doctors, therapists, nurses, and other clinicians must finish many notes every day while also...
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Review of Systems (ROS) (with Checklist Template)
The review of systems, often called ROS, is a very important part of medical and clinical documentation. It helps healthcare providers understand...
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HIPAA-Compliant Transcription Software
If you work in healthcare, you already know the problem: you have patients to care for, but you also have...
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Musculoskeletal SOAP Notes (with Examples)
Musculoskeletal problems are extremely common in everyday clinical practice. Many patients visit clinics for pain in their muscles, joints, ligaments,...
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Cardiac SOAP Notes (with Examples)
Cardiac problems are very common in clinics, hospitals, and emergency settings. Conditions like chest pain, palpitations, shortness of breath, and...
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SOAP Notes for Hypertension (with Examples)
Hypertension, commonly known as high blood pressure, is one of the most widespread health problems worldwide. What makes it especially...
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SOAP Notes Cheat Sheet
Health and mental health professionals write SOAP notes as part of their daily work. These notes help document a client’s...
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SOAP Notes Subjective: (with Examples)
Documentation is one of the most important responsibilities in healthcare, and the quality of those notes can greatly affect treatment...
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The Best HIPAA Compliant Note-Taking App
In healthcare, note-taking is a major part of daily work. Clinicians write notes to understand a patient’s condition, track progress,...
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SOAP Note Generator
Writing SOAP notes is a daily part of every clinician’s job, but it can also be one of the most...
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AI-Generated Clinical Notes vs Human Notes (Manual Note-Taking)
Clinical documentation is one of the most important tasks in healthcare. Every patient visit must be recorded clearly, correctly, and...
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How to Write Objective in SOAP Notes (with Examples)
The Objective section in a SOAP note is one of the most important parts of clinical documentation. It contains the...
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Priming the Ambient AI Medical Scribe with Skriber:
Insights from Dr. Connor Yost’s Interview with Healthcare IT Today In a recent interview with Healthcare IT Today, Chief Medical Officer Dr....
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How to Write Assessment in SOAP Note (with Examples)
The Assessment section is one of the most important parts of a SOAP note because it shows how you, as...
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Using ChatGPT for SOAP Notes: Benefits, Limitations, and HIPAA Concerns
SOAP notes are a daily part of clinical life. They help you record symptoms, document assessments, and plan treatment in...
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Skriber Raises $1.3M to Help Clinicians Take Back Their Time
We’re excited to share a major milestone for Skriber: we’ve officially closed our oversubscribed pre-seed funding round, raising $1.3 million to continue...
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Pediatric SOAP Notes (with Examples & Template)
As a pediatrician, you see children of all ages, from newborns to teenagers, and every visit can be very different....
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