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Evolutionary pressures on the Electronic Health Record: Caring for complexity

by jmiller on August 16, 2016

“There is building resentment against the shackles of the present EHR; every additional click inflicts a nick on physicians’ morale.  At present, the spectacular effects of computers in science and in the secular world are not reflected in the EHR, which for physicians remains burdensome, all-consuming, and far from intuitive:  this is not surprising when the dominant EHRs are designed for billing and not primarily for ease of use by those who provide care.  In fact, a measure of successful EHR evolution may be that physicians spend much less time with the EHR than they do now.  Deimplementing the EHR could actively enhance care in many clinical scenarios.  Simply listening to the history and carefully examining the patient who presents with a focused concern is an important means of avoiding diagnostic error.”  (JAMA, Aug 15)  Click here to read.