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Erschienen in: Journal of General Internal Medicine 4/2018

05.02.2018 | Editorial

Electronic Health Records: a “Quadruple Win,” a “Quadruple Failure,” or Simply Time for a Reboot?

verfasst von: Michael Hochman, MD, MPH

Erschienen in: Journal of General Internal Medicine | Ausgabe 4/2018

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Excerpt

Just a decade ago, when paper charts were commonplace in the USA, it seemed that electronic health records (EHRs) were destined to transform the quality and efficiency of healthcare delivery, as well as the care experience for patients and clinicians. Few would deny that old fashion paper charts can be awkward to navigate, burdensome to read, poorly amenable for health information exchange, and inadequate for supporting systematic quality improvement. The sentiment that EHRs could solve these problems was pervasive, and many experts predicted that widespread EHR implementation would save billions.1
Literatur
1.
Zurück zum Zitat Hillestad R, et al. Can electronic medical record systems transform health care? Potential health benefits, savings, and costs. Health Aff 2005;24(5):1103–1117.CrossRef Hillestad R, et al. Can electronic medical record systems transform health care? Potential health benefits, savings, and costs. Health Aff 2005;24(5):1103–1117.CrossRef
2.
Zurück zum Zitat Furukawa MF, et al. Despite substantial progress in EHR adoption, health information exchange and patient engagement remain low in office settings. Health Aff. 2014:10–1377. Furukawa MF, et al. Despite substantial progress in EHR adoption, health information exchange and patient engagement remain low in office settings. Health Aff. 2014:10–1377.
3.
4.
Zurück zum Zitat Bowman S. Impact of Electronic Health Record Systems on Information Integrity. Quality and safety implications. 2013;2013:10. Bowman S. Impact of Electronic Health Record Systems on Information Integrity. Quality and safety implications. 2013;2013:10.
5.
Zurück zum Zitat Isaac T, Weissman JS, Davis RB, et al. Overrides of medication alerts in ambulatory care. Arch Intern Med 2009;169: 305–311.CrossRefPubMed Isaac T, Weissman JS, Davis RB, et al. Overrides of medication alerts in ambulatory care. Arch Intern Med 2009;169: 305–311.CrossRefPubMed
7.
Zurück zum Zitat Jones SS, et al. Unraveling the IT productivity paradox—lessons for health care. N Engl J Med 2012;366(24): 2243–2245.CrossRefPubMed Jones SS, et al. Unraveling the IT productivity paradox—lessons for health care. N Engl J Med 2012;366(24): 2243–2245.CrossRefPubMed
8.
Zurück zum Zitat Wachter R. The digital doctor. New York: McGraw-Hill Education; 2015. Wachter R. The digital doctor. New York: McGraw-Hill Education; 2015.
9.
Zurück zum Zitat Sinsky C, et al. Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 SpecialtiesAllocation of Physician Time in Ambulatory Practice. Ann Intern Med 2016;165(11): 753–760.CrossRefPubMed Sinsky C, et al. Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 SpecialtiesAllocation of Physician Time in Ambulatory Practice. Ann Intern Med 2016;165(11): 753–760.CrossRefPubMed
10.
Zurück zum Zitat U.S. Office of the National Coordinator for Health Information Technology. Report to Congress: Update On The Adoption Of Health Information Technology And Related Efforts To Facilitate The Electronic Use And Exchange Of Health Information; 2016. U.S. Office of the National Coordinator for Health Information Technology. Report to Congress: Update On The Adoption Of Health Information Technology And Related Efforts To Facilitate The Electronic Use And Exchange Of Health Information; 2016.
11.
Zurück zum Zitat Friedberg MW, et al. Factors affecting physician professional satisfaction and their implications for patient care, health systems, and health policy. Rand Corporation; 2013. Friedberg MW, et al. Factors affecting physician professional satisfaction and their implications for patient care, health systems, and health policy. Rand Corporation; 2013.
12.
13.
Zurück zum Zitat Street RL Jr, Liu L, Farber NJ, Chen Y, Calvitti A, Weibel N, Gabuzda MT, Bell K, Gray B, Rick S, Ashfaq S, Agha Z. Keystrokes, Mouse Clicks, and Gazing at the Computer: How Physician Interaction with the EHR Affects Patient Participation. J Gen Intern Med. https://doi.org/10.1007/s11606-017-4228-2 Street RL Jr, Liu L, Farber NJ, Chen Y, Calvitti A, Weibel N, Gabuzda MT, Bell K, Gray B, Rick S, Ashfaq S, Agha Z. Keystrokes, Mouse Clicks, and Gazing at the Computer: How Physician Interaction with the EHR Affects Patient Participation. J Gen Intern Med. https://​doi.​org/​10.​1007/​s11606-017-4228-2
14.
Zurück zum Zitat Farber NJ, et al. EHR use and patient satisfaction: What we learned. J Fam Pract 2015;64(11): 687–694.PubMed Farber NJ, et al. EHR use and patient satisfaction: What we learned. J Fam Pract 2015;64(11): 687–694.PubMed
15.
Zurück zum Zitat Gellert GA, Ramirez R, Webster SL. The rise of the medical scribe industry: implications for the advancement of electronic health records. JAMA 2015;313(13): 1315–1316.CrossRefPubMed Gellert GA, Ramirez R, Webster SL. The rise of the medical scribe industry: implications for the advancement of electronic health records. JAMA 2015;313(13): 1315–1316.CrossRefPubMed
Metadaten
Titel
Electronic Health Records: a “Quadruple Win,” a “Quadruple Failure,” or Simply Time for a Reboot?
verfasst von
Michael Hochman, MD, MPH
Publikationsdatum
05.02.2018
Verlag
Springer US
Erschienen in
Journal of General Internal Medicine / Ausgabe 4/2018
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-018-4337-6

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