Clinicians blame EHRs for too many healthcare problems. This is overly simplistic and distracting. Here I explain why.
We crave simple explanations for complicated problems. In healthcare, clinicians often lash out at their electronic health records.almost six hours using the EHR, nearly half occurring outside clinical hours. Repeatedly scanning, toggling, clicking, and typing zaps our energy, steals our attention, wears us out, and contributes toEHRs make some tasks easier and others harder. For example, they empower us with information yet overwhelm us with junk and nonsense.
EHRs make us more productive in some ways yet less productive in others. For instance, it is easier to prescribe medications and communicate test results electronically, but EHRs force us to process countless alerts and notifications.When adopting EHRs, many organizations digitized old, paper-based workflows, forcing clinicians and nurses to develop workarounds and perform unnecessary tasks. Organizations that redesigned their work and reconfigured their teams have done better.
to provide guideline-recommended preventive, chronic disease, and acute care to a 2,500-patient panel. Importantly, not all time in the EHR is wasted! We too easily forget that using the EHR is far more than just pointing, clicking, and typing. When using EHRs, we synthesize information, think critically, communicate with colleagues, and perform various tasks that long pre-date EHRs. Contrary to popular belief, we spend as much time with patientsNone of this is to say that EHRs are perfect—they aren’t, and we deserve more usable technology.
Healthcare Clinical Practice Physicians
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