... many of the predictions about the benefits of EHRs have yet to materialize to the extent predicted. Though EHRs have facilitated some substantial improvements—the ability for clinicians to access charts from any wired location, electronic transmission of prescriptions, and enhanced tracking of population health measures, to name just a few—they have also resulted in numerous unintended consequences. Noteworthy concerns include egregious medical errors resulting from design glitches, charting templates filled extensively with meaningless boilerplate, the common practice of pasting old notes that makes it difficult to know which documentation is “real,” “alert fatigue” due to excessive EHR warnings (note that some warnings are essential, such as on critical actions with possibly serious consequences, e.g., on confusing screens that can be described as "hot spots for user input error" - ed.), and even reduced communication among clinical team members.
Wednesday, February 07, 2018
New article in J. of General Internal Medicine calls for simplifying EHRs
January 31, 2018