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Do RNs like using electronic health records?
[A seldom considered POV]
BY Darrell K. Pruitt DDS
Some Facebook comments:
Big problems when you have unexpected “downtimes”.
July 15 at 3:10pm · Like · 4
It is an absolute train wreck. I haven’t seen one record of mine that is not riddled with mistakes. Especially the allergies, they show me taking meds I’m allergic to and not taking meds I’m actually on. A true mess!! And now the records are all intertwined. I don’t like it at all!!
July 15 at 3:10pm · Like · 2
It is a nightmare!
July 15 at 3:18pm · Like
I retired just in time so I don’t have to deal with this fiasco.
July 15 at 3:19pm via mobile · Like · 2
IT SUCKS
July 15 at 3:19pm · Like
I don’t like them; my doctors don’t like them; how it will affect patient care is still a ‘jury out’ matter, but we can guess it will NOT help.
July 15 at 3:30pm · Like
Our Rural Community Healthcare system is just now switching over to this .. along with our hospital switching over to a totally new computer system .. the 2 systems do not talk to each other..In my personal experience I find that the “computer” world takes us away from Direct Patient Care (to busy playing “ring around the Rosie” on the computer).
July 15 at 3:40pm · Like · 4
I like them, but it is frustrating having “downtime.”
July 15 at 3:41pm · Like
I hear patients stating things like “my doctors don’t know who I am because they don’t look at me they are glued to the computer”. It saddens me patients feel less valued. I’ve worked in places where they’ve had paper charts and places computerized. Seems the computers are redundant and I personally prefer paper charts. Chart one assessment not one assessment 4 different places.
July 15 at 3:44pm via mobile · Like · 3
It looks to me like physicians are cutting and pasting old histories and physicals, complete with the errors. Doctors in a local ER charted complete physicals on me when they did not get closer than 5 feet away. The records are difficult to read, difficult to find information; and it is not number in chronological order.
July 15 at 3:47pm · Like
I dislike it. Besides the down time, I find it very impersonal. I don’t feel as if I am giving my full attention to my pt, nor do I feel my PCP is hearing what I’m saying . They are too busy putting in info on the computer. As for the down time you then have to work late to put in the info gathered while the system is down.
July 15 at 3:47pm via mobile · Like · 2
Assessment
https://www.facebook.com/friendanurse/posts/654085127954821
More: On DIgital Deaths
(50+ other comments)
Conclusion
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Filed under: Information Technology, Pruitt's Platform | Tagged: Darrell Pruitt DDS, EHRs, electronic health records, electronic medical records, EMRs |
The Leading Business Education Network for Doctors, Financial Advisors and Health Industry Consultants 
Dr. Pruitt,
Thank you for this perspective. With all the talk about patient-centricity, your new POV is refreshing.
We are all healthcare stakeholders; nurses too!
Nurse Reeves
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I never left your side.
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EHR Costs Outweigh Financial Benefits, Doctors Say
Physicians believe electronic health records can improve patient outcomes but feel that EHR costs outweigh any financial benefits they might have, according to the fourth annual Athenahealth Physician Sentiment Index.
The survey also found that doctors see receiving third-party payments as increasingly complex but are getting less frustrated with the process.
Similarly, physicians doubt government involvement can have a positive impact on healthcare, “but the passion surrounding it seems to have lessened,” according to the survey.
Source: Andis Robeznieks, Modern Healthcare [8/14/13]
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Only 32% of patients want EHRs
You learned how RNs feel about EHRs from the post above. Now, did you know that less than one-third of patients want EHRs?
So how many want electronic dental records?
Nobody knows. At the moment, leadership in the dental community continues to resist transparency concerning their misinformed decision years ago to hastily promote EDRs – even while anonymously censoring feedback from dentists and patients whose welfare data breaches endanger.
“Do patients even want digital health records?” by Mike Milliard, Contributing Editor was posted today on GovHealthIT.com.
http://www.govhealthit.com/news/do-patients-even-want-digital-health-records
“The fourth annual EHR survey polled more than 2,000 U.S. adults and found that just 29 percent have even been informed by their doctor that their medical records will be converted to digital format.
That’s a modest improvement from recent years, Xerox officials said, but the survey still shows that most Americans (83 percent) have big concerns about EHRs — largely centered on privacy and security.
Strikingly, only 32 percent of patients want their medical records to be digital at all, according to the poll.”
Since EDRs offer patients far fewer tangible benefits than do physicians’ digital records, it is easy to assume that even fewer dental patients want their identities stored on computers –encrypted or not.
Something’s got to give.
As the expected increase in numbers of data breaches from dental offices begin to be reported before the end of the year – thanks to the stricter reporting rules in the HIPAA omnibus – more and more (former) patients will be notified that their dentists have fumbled their privacy.
I predict by February 2014, at least a few will seek out dentists with paper dental records, with more to follow.
By not promoting the hell out of de-identification – or any better solution anyone can offer for the data breach epidemic – the dental profession risks losing computerization. All because of stubborn pride.
That’s unfortunate.
D. Kellus Pruitt DDS
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EHRs
More hospitals are using computers to order prescriptions and to keep electronic records. The hope is that this will help doctors keep better track of a patient’s current condition and medical history and help to prevent errors.
Indeed, the digital approach can make it easier for doctors to spot allergies and potentially dangerous drug interactions, but some critics say they can also have unintended consequences.
Doctors using computers to order prescriptions might easily order medication for the wrong patient or enter medical information under the wrong name. The risk is greater in fast-paced emergency rooms where doctors are juggling multiple critically ill patients who they are often meeting for the first time. Critics of electronic systems also worry that some doctors can suffer from “alert fatigue” when they receive too many status updates and messages regarding a patient, increasing the chance that they will overlook a test result that is important to the patient’s condition.
Another common concern among health pros is that the time doctors spend entering and scanning medical records takes away from time that could be spent with a patient.
To be sure, many of the mistakes doctors make when using electronic records are in line with the errors they might make using paper records, but the errors can pile up since doctors are often able to enter orders remotely without revisiting a patient or communicating properly with other doctors.
Many hospitals also have no formal procedure in place for doctors to use to alert each other about possible glitches or safety issues they notice when using electronic records. Some hospitals are taking steps though to prevent potential patient mix-ups, such as including the patient’s room number or photo in their file, she says. Many hospitals using digital records meet regularly to discuss possible glitches and to make recommendations to vendors on ways to make programs more helpful for doctors.
Mika
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Beware inherent healthcare IT risks
“Beware inherent healthcare IT risks, Joint Commission warns – Electronic health records and other forms of healthcare information technology may be riddled with inherent risks that can harm patients, according to an alert from the Joint Commission. Confusing human-computer interfaces, poor health IT support and design issues that lead to miscommunication are among many concerns cited in the alert released Tuesday from the nation’s largest hospital accreditation organization.”
http://www.modernhealthcare.com/article/20150331/NEWS/150339972/beware-inherent-healthcare-it-risks-joint-commission-warns
Sabriya Rice
Modern Healthcare
[March 31, 2015]
Darrell K. Pruitt DDS
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36% of Pediatric Medication Errors Related to EHR Usability Issues
Health Affairs recently published a study on pediatric medication errors related to EHRs. Here are some key findings from the report:
• 36% of pediatric medication errors were related to an EHR usability issue.
• System feedback was associated with 82.4% of the events.
• 18.8% of usability-related errors may have resulted in patient harm.
Source: Health Affairs, November 2018
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