How bad are Electronic Health Record (EHR) programs? Let me count the ways. Rather, let me not, as I and many other folks have already done so. Even non-tech savvy doctors (of which there are fewer and fewer) realize something is wrong when they compare their experience using an EHR with virtually every other computer… Continue reading EHR Copy and Paste Considered Harmful
Compare the following two versions of the same medical history: Version 1 CC: chest pain Mr. Smith is a 57 y/o white man who comes into the office today for the first time with a complaint of chest pain. He states he has been in generally good health in the past, though he has smoked… Continue reading A Tale of Two Histories
I remember the disdain some of the EHR trainers had for their trainees back when our hospital system “went live” several years ago. Of course this disdain was tempered by their knowledge that if docs weren’t so computer illiterate, or the user interfaces of the EHR systems weren’t so awful, or if the EHR software… Continue reading Geeky Docs
[Ed note: I couldn’t resist writing the following after reading this post on KevinMD.com by Dr. Keith Pochick. Please read it first. Apologies in advance.] I’m a Better Computer Than Any Doctor “I love you,” she said as she was leaving the room. “I, I um…” “Not you. Your computer.” She cast my computer, still… Continue reading I’m a Better Computer Than Any Doctor
I’m getting to the point where I think it might be time to stop or at least decelerate the pace of my writing on medicine. When I retired from medical practice almost a year ago there were a lot of pent up experiences that I felt a need write about. But now I have already written about… Continue reading Can Writing About Medicine Change Medicine?
One of the many unanswered questions about the handling of the first Ebola case in the United States is the role of the Electronic Health Record (EHR). Initial reports put at least some of the blame for the patient’s being sent home from the hospital despite a high risk travel history on a failure of… Continue reading Lost in EPIC Land