Skip to main content
Top
Published in: Journal of General Internal Medicine 4/2018

01-04-2018 | Editorial

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

Author: Michael Hochman, MD, MPH

Published in: Journal of General Internal Medicine | Issue 4/2018

Login to get access

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
Literature
1.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference Wachter R. The digital doctor. New York: McGraw-Hill Education; 2015. Wachter R. The digital doctor. New York: McGraw-Hill Education; 2015.
9.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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
Metadata
Title
Electronic Health Records: a “Quadruple Win,” a “Quadruple Failure,” or Simply Time for a Reboot?
Author
Michael Hochman, MD, MPH
Publication date
01-04-2018
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 4/2018
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-018-4337-6

Other articles of this Issue 4/2018

Journal of General Internal Medicine 4/2018 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.