This is awkward but I think we need to stop saying thank you. At least in the EHR. Take the health professional who responds to 25 staff messages per day. With all dutifully addressed in the early afternoon, by the end of the day they’ll often find their inbox full again. And each one with nothing more than a ‘thank you.’ A kind of warm and fuzzy last word in an ... Continue Reading about The EHR Thank You Crisis
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Why Doctors Would Hate The Best EHR in the World
If you got together the best user experience professionals in Silicon Valley and invested billions into the creation of The Best EHR in the World, doctors would still hate it. They would complain that The Best EHR in the World is destroying medicine and hurting patients. Long essays in the Sunday New York Times would wax nostalgic about the good old days before the ... Continue Reading about Why Doctors Would Hate The Best EHR in the World
EHR and the Failure to Communicate
I once had a clinic nurse who wouldn’t talk to me. First a little history. Clinical workflow in my early career included the ritual of phone messages. Every day, at least once and usually in the afternoon, I would sit with my clinic nurse and a pile of manilla folders to discuss phone calls. Details were discussed, recommendations were made, triage assessments ... Continue Reading about EHR and the Failure to Communicate
White Board Documentation Beats the EHR
It's a recurring story: A mother brings her child for follow-up. When discussing how things have gone, mom summons her phone and references a white board picture taken during her initial visit. It's a picture that outlines what her child has and what we're doing doing about it. Collaborative thinking on a white board is central to the patient encounter As most of my ... Continue Reading about White Board Documentation Beats the EHR
EHR and Challenges of the Modern Medical Note
There was a time when documentation was an almost inconsequential process. After seeing a patient, the doctor would scratch a note, close the folder, and file it on a shelf until the next visit. Things are different and the medical note has evolved. As it’s evolved, electronic health records (EHR) have brought efficiencies to the medical note while introducing new ... Continue Reading about EHR and Challenges of the Modern Medical Note
EHRs and the Problem of Efficiency
Some doctors worry about how EHRs slow them down. I worry about how fast they let us go. Too much dropdown makes documentation too easy. And when it comes to doctors and their EHRs, there’s a fine line between efficient and lazy. Seeing the line is important because when it comes to workflow the drive to completion typically overpowers the obligation to showcase ... Continue Reading about EHRs and the Problem of Efficiency