Electronic health record innovations: Helping physicians - One less click at a time

Physician burnout is becoming an epidemic, due to the pressures of being productive, an imperfect electronic health record (EHR) system, and limited face-to-face time with patients. Poor usability in EHR-user interface can force users to go through more steps (i.e. more clicks on the computer) in ac...

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Veröffentlicht in:Health information management Jg. 46; H. 3; S. 140
Hauptverfasser: Guo, Uta, Chen, Lu, Mehta, Parag H
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Australia 01.09.2017
Schlagworte:
Attitude to Computers
Burnout, Professional - psychology
Diffusion of Innovation
Documentation - trends
Electronic Health Records - trends
Humans
Medical Order Entry Systems - trends
New York City
Patient Safety
Physicians - psychology
User-Computer Interface
telemedicine
patient safety
electronic medical records
Computerized Provider Order Entry CPOE
workflow
health information management
documentation
computerized physician order entry system ms
mobile
electronic health records
health information technology
medication alert systems
professional
innovations
clinical
time
burnout
chart review
decision support systeapplications
order sets
ISSN:1833-3575, 1833-3575
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Zusammenfassung:Physician burnout is becoming an epidemic, due to the pressures of being productive, an imperfect electronic health record (EHR) system, and limited face-to-face time with patients. Poor usability in EHR-user interface can force users to go through more steps (i.e. more clicks on the computer) in accomplishing a task. This increased 'click burden' is a source of frustration for physicians. In the light of increased click burden and time due to meaningful use requirements, there is a need to improve the physician's experience by creating innovations in EHR. This case study describes an attempt by physicians at NewYork-Presbyterian Brooklyn Methodist Hospital to enhance the EHR experience with more efficient methods of documentation, chart review, ordering and patient safety. The EHR innovations trialled in this study were: a mobile documentation application; abnormal test results auto-populated into an EHR patient summary; physician alerts to reduce inappropriate test ordering; and a system of safety alerts on a dashboard. These innovations led to decreased click burden and allowed physicians to spend less time on the computer and more time with patients. Physician-driven changes to EHR systems have the potential to streamline virtual workflows and the management of health information and to improve patient safety, reduce physician burnout and increase physician job satisfaction.
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ISSN:1833-3575
1833-3575
DOI:10.1177/1833358316689481