Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

We must get past the complaints doctors have about EMRs

Deepak Ramesh
Tech
June 1, 2012
Share
Tweet
Share

Any new technology necessarily has a phase in which unnoticed bugs as well as unforeseen challenges crop up. In its early stages, the snail’s pace of a dial-up connection often made using the Internet onerous: before completing an email, one was often interrupted by pop-ups, viruses, cryptic 404 error messages, and a cacophony of sounds from the modem as the line repeatedly disconnected. Yet, as technology matures, the ability to send an email anywhere in the world now rests in our pockets. EMR has often been decried as time-consuming, disorganized, and plagued with errors; these problems are temporary and addressable. Moreover, EMR offers some unique and compelling benefits that are sure to make paper records obsolete.

The most common complaint about EMR is that it is hard to get the patient’s full story. An EMR will only accept what input it is given; it cannot generate its own data. For those pining for the “good old days,” there are blank notes into which one can free-text grammatically correct notes to their heart’s desire. There is also endless customizability in creating template H&Ps for different chief complaints. For example, in my CHF-exacerbation template, rather than a generic HPI I can write:

HPI: *** is a *** year old *** with a PMHx of CHF (last echo: ***, EF: ***%), ***….

This, and numerous other subtle modifications enable me to not only remember to ask the patient important questions (a la Atul Gawande’s checklists), but also remember to weave critical details into the story at precise locations, to shape the narrative unfolding in my reader’s mind.

As far as locating data entered by others, EMR clearly outshines paper charts as well. Sitting at my computer in the county hospital, I can limit the notes I view to the subtypes “H&P,” “Discharge Summaries,” and “Progress Notes.” From my chair, I can view all relevant notes and labs not only from prior admissions, but from the AIDS clinic she visits near her house, the Ophthalmology clinic she visited last year, and the biopsies that were sent out when endometrial cancer was suspected last month. Any, all, or none of these data may be relevant to this particular admission, but having it instantly at my fingertips is a luxury that paper simply cannot reproduce.

Finally, EMR is dramatically more accessible than paper charts. The initial barrier of poor handwriting is immediately discarded. The second barrier of traipsing up n flights of stairs to the patient’s floor, finding the chart, and wresting it away from the poor medical student who is trying to decipher the last consultant’s handwriting is also (thankfully) gone. While I am in an elevator on the way to noon conference, I am able to enter in an order that I forgot during morning rounds from my iPad. And as long as we’re trying to minimize handoffs, what about the handoffs that occur during order entry on paper?

Overcoming these fairly mundane inconveniences is not the only benefit of a full EMR. There are many unique benefits that have already revolutionized patient care. The cardiologist on home call can log in with his laptop and view the telemetry output of his entire ward; the medical team can instantly flip through each X-ray, CT, or MRI done in the past several years to compare a questionable lung spot to a CXR done at a previous admission; the hapless intern can have time to choke down some cereal while scanning his patient’s morning labs, even though he slept 15 minutes late this morning. EMR will continue to transform the way we practice medicine for the better, and the wisest approach to realize that it is just a tool that will reflect what we put in.

Garbage in, garbage out. Clinicians would do well to really learn the ins and outs of the technology so that they can best tweak it to their practice’s needs.

Deepak Ramesh is a medical student.

Submit a guest post and be heard on social media’s leading physician voice.

Prev

Create peace and dignity at the end of life

May 31, 2012 Kevin 9
…
Next

Who pays for the cost of switching medications?

June 1, 2012 Kevin 6
…

Tagged as: Cardiology, Health IT, Hospital-Based Medicine

Post navigation

< Previous Post
Create peace and dignity at the end of life
Next Post >
Who pays for the cost of switching medications?

ADVERTISEMENT

More in Tech

  • Would The Pitts’ Dr. Robby Robinavitch welcome a new colleague? Yes. Especially if their initials were AI.

    Gabe Jones, MBA
  • Generative AI 2025: a 20-minute cheat sheet for busy clinicians

    Harvey Castro, MD, MBA
  • Why public health must be included in AI development

    Laura E. Scudiere, RN, MPH
  • Here’s what providers really need in a modern EHR

    Laura Kohlhagen, MD, MBA
  • AI and humanity in health care: Preserving what makes us human

    Harvey Castro, MD, MBA
  • AI is not a threat to radiologists. It’s a distraction from what truly matters in medicine.

    Fardad Behzadi, MD
  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • A physician’s reflection on love, loss, and finding meaning in grief [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • A physician’s reflection on love, loss, and finding meaning in grief [PODCAST]

      The Podcast by KevinMD | Podcast
    • How fragmented records and poor tracking degrade patient outcomes

      Michael R. McGuire | Policy
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • How I learned to stop worrying and love AI

      Rajeev Dutta | Education
    • Understanding depression beyond biology: the power of therapy and meaning

      Maire Daugharty, MD | Conditions
    • Why compassion—not credentials—defines great doctors

      Dr. Saad S. Alshohaib | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 12 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • A physician’s reflection on love, loss, and finding meaning in grief [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • A physician’s reflection on love, loss, and finding meaning in grief [PODCAST]

      The Podcast by KevinMD | Podcast
    • How fragmented records and poor tracking degrade patient outcomes

      Michael R. McGuire | Policy
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • How I learned to stop worrying and love AI

      Rajeev Dutta | Education
    • Understanding depression beyond biology: the power of therapy and meaning

      Maire Daugharty, MD | Conditions
    • Why compassion—not credentials—defines great doctors

      Dr. Saad S. Alshohaib | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

We must get past the complaints doctors have about EMRs
12 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...