Why Do Doctors Dislike Electronic Health Records? - Comments Page 2

Category: Health



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Posted by:

Wild Bill
15 Aug 2020

Boy, did this topic bring out the responses. I would note that the "Say ahh..." bit is usually carried out by a Medical Assistant, thus not cutting into the 15 minute visit time of the physician. The data entry time, on the other hand, does. Hopefully, this problem becomes less so as technology advances. An AI that recorded the visit/interaction might allow for a less time-intensive experience on the part of a valuable resource, the physician.

Posted by:

TowheeNW
15 Aug 2020

The reason that the Amazon website is so good: they hired Seattle Librarians to design it, and the computer programmers had to make it that way.
The EHR program that my doctor uses requires filling out every box on the page before it will go to the next page. They need doctors and nurses to redesign the programs they use.

Posted by:

RandiO
15 Aug 2020

Thank you Bob Rankin, for all you do to keep us informed.
In my neck of the woods, the actual Doctor walks into the room w/a 'stenographer' (of sorts) in tow. Maybe my health provider provides TMI but I notice that a normal routine yearly doctor's visit is billed as 30 minutes but I am venturing to guess that my face time with the doctor (+tow) is about 5 minutes and another 10 minutes with other healthcare aids asking questions and/or probing. I don't seem to feel any pity for GP computer burnout. It's like me complaining that breathing is stressing me out just because I need oxygen uptake!
@StefWohl - What is the Yiddish expression you speak of? Is it 'hand-in-hand' or do you mean "Oy Vey"?

Posted by:

Colion
16 Aug 2020

How does EHR compare to how much time a Dr spent doing records?
Totally agree with systems designed by programmers simply are useless for any frontline workers in terms of utility. I have experienced systems in the medical field, social services field and finance field. They all have created more work for users. And no utility. And created issues and dangers. And of course never implemented with proper or any training at all. Most recent example MS 365. MS office 2010 works better!

Posted by:

Citellus
17 Aug 2020

My best friend for 50+ years is a pediatrician. The notes done in the office are only a portion of what he does on their records. The rest of it comes at home, at nights, and on weekends. And this is with him having an electronic system. Electronic systems deal with what is usual or typical or frequent. Pediatricians and other doctors deal with unique individuals that do not necessarily follow the book exactly; their symptoms don't quite match, etc. The true doctoring comes in seeing what does not (often should not) go together. Electronic systems are not open to "AHA" moments where something just clicks in a good doctor's mind.

Posted by:

Larry
17 Aug 2020

Watching nurses forced to use drop down lists and scrolling to enter a temperature or blood pressure, some of the most obvious issues are exposed. Basic data entry should NEVER use a mouse! Entering 97.6 is 4 keystrokes, press [ENTER] is a 5th. If you want to skip fields, then a mouse might work better then the [TAB] or [ENTER] key. But the data entry screens programmers are creating these days SUCK! The doctors often aren't treated any better. If your condition is not in some list, they can't enter it! This is the worst of software design and I see it not just at my doctor's office, but on my banking website and shopping cart systems constantly! I've been programming full time since 1978 and the advent of the mouse might be one of the worst things to ever happen! Understand what you need to do BEFORE you create a user interface!!

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