Sample PSR Progress Notes and Drafting Guide

A strong PSR progress note focuses on the patient's current status, the specific response to the current treatment plan, and the clinical justification for the next steps. Key sections typically include a summary of the interval history, updated vital signs or objective measurements, a clear assessment of progress toward goals, and a modified plan of care. Precise wording regarding the patient's functional improvement or decline is critical for maintaining a high-fidelity clinical record.

Instead of manually filling out a sample PSR template from memory, Aduvera captures the encounter as it happens. The AI identifies the relevant clinical data points from the conversation and organizes them into the PSR structure. This allows the clinician to spend their time reviewing the transcript-backed citations to ensure accuracy rather than typing repetitive boilerplate text.