Health workers spend most of their day writing medical notes than with their patient. 


hours avarage

in patient care

in education

(JAMA Intern Med. 2019;179(6):760–767)

The Consequences of Medical Notes
in Physicians

Have burnout.

(JAMA. 2018 Sep 18;320(11):1131-1150,
JAMA Intern Med. 2017;177(2):195–205)

Sleep less than 4 hours per shift.

In March 25, 2021 we launched a survey to over 600 medical interns and residents from Mexico.

The Consequences of Burnout and Sleep Deprivation


Make more serious errors than those that work less than 16 hours per shift. Medical error is the third biggest cause of death in the US and therefore requires greater attention. 


More times diagnostic errors.


more needlestick and other sharp injuries.


risk of a motor vehicle crash after work


more fatigue-related medical errors that led to a patient’s death.

The Joint Commission Journal on Quality and Patient Safety, Volume 33, Issue 11, Supplement, 2007, Pages 7-18, ISSN 1553-7250

BMJ 2016;353:i2139

Libyan J Med 2014, 9: 23556

The Solution

"Physicians could gain important benefits from interventions to reduce burnout, especially from organizational strategies, by viewing burnout rooted in issues related to the working environment and organizational culture."

(Aging Clin Exp Res. 2021 Apr;33(4):883-894)

HAi Survey Conclusion


In March 25, 2021 HAi team launched a survey to over 600 interns and residents from Mexico, this were the results:

Think that they spend more time developing medical notes than taking care directly to their patients, sleeping or studying.

Think that this is a real problem and needs a solution.

Doesn´t know any tool that could facilitate this processs
(the rest mentioned the use of pre-developed notes with free fields for filling in text processors softwares)