The EHR makes you work harder
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My daughter's currently doing an AP project for high school covering GP burnout. She's interviewed a number of doctors around the country, and they've all said the EHR is a nightmare.
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Also posted on TONCR:
I was putting in orders the other day.
I used to do this:
Grab chart, open to "orders".
Find pre-printed order sheet.
Sign.
Hand chart to unit secretary.
Now, I do this:
Sign into computer.
Launch appropriate program (Surginet).
Find patient, click on name.
Go to "power orders".
Click on "my favorites"
Find "George's Postop orders".
Click on "add".
Click on "orders for signature".
Click on "sign"
Click on "initiate"
Refresh screen.
Exit Patient chart.
Close application.
Log out of computer.
Don't get me started on what happens if there's a drug "allergy" - like nausea from codeine. I have to INDIVIDUALLY authorize EVERY single narcotic because of "treatment plan requirement.
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@loki said in The EHR makes you work harder:
Good lessons for all the self serve software coming our way.
It’s just unexpected that docs were the pioneers. It’s coming to all of us.
None of this is particularly surprising. My entire life as a technical engineering manager is governed by the software environment I work in. I spend most of my life feeding the beast.
I used to do technical reviews by getting out engineering drawings and occasionally even talking to people.
I suspect the main reason we hear about it so much for doctors is that they're the most highly qualified people that the general public see on a regular basis.
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I'd like to find out who wrote Microsoft Dynamics and Workday and touch them all over so they couldn't have babies.
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@doctor-phibes said in The EHR makes you work harder:
@loki said in The EHR makes you work harder:
Good lessons for all the self serve software coming our way.
It’s just unexpected that docs were the pioneers. It’s coming to all of us.
None of this is particularly surprising. My entire life as a technical engineering manager is governed by the software environment I work in. I spend most of my life feeding the beast.
I used to do technical reviews by getting out engineering drawings and occasionally even talking to people.
I suspect the main reason we hear about it so much for doctors is that they're the most highly qualified people that the general public see on a regular basis.
You are correct. The train has left the station. It’s really important to be digitally savvy or you will be left behind. It’s hard because of the speed of updates and upgrades and staying current. The digital divide is coming on strong and being old is a risk factor.
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The problem is that the vast majority of data collected by all this effort is worthless. It is still difficult for physicians to see patient records from other health systems, and most would not if they could...only in really difficult situations is it of potential value.
Hell, when I was in the hospital for the leg infection in 2019 I could tell the majority of hospitalists had not even read my chart that was right there.
No, all this effort is about bean counting for the gummint.
“I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill
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@mik said in The EHR makes you work harder:
The problem is that the vast majority of data collected by all this effort is worthless. It is still difficult for physicians to see patient records from other health systems, and most would not if they could...only in really difficult situations is it of potential value.
Hell, when I was in the hospital for the leg infection in 2019 I could tell the majority of hospitalists had not even read my chart that was right there.
No, all this effort is about bean counting for the gummint.
Preach on, brother!
Mr. Obama gave us a fuckin'. And surprisingly, I think he meant well. He just listened to a lot of people that didn't have a clue how front line medicine works.
