Patient trends, medical images, and pictures Messaging (colleagues, patient status, and patient connections) References, research Access to all info from anywhere Allergy alerts; drug interactions Filters Legibility Training/mentoring Quality of care (ambivalent) |
Click boxes, too many clicks Short visits, no time to reflect Doctor–patient interactions EMR built for billing rather than patient care (thought process lost) Note bloat (cut and paste) EMR at home, home not restful, hard to disconnect IT staff not knowledgeable of clinical issues Lose lunch, staying late Too many screening questions Interoperability (between hospitals) Hard to find things in chart, fear of missing something No clear spot for required activities (eg foot exams) Computer slowdowns Scanned info lost No printers in rooms Stress—“when can I do my notes”? Population management compromises care of individual patient Productivity down due to EHR Need for workarounds/speed Problem list maintenance Lack of standardized data curation Redundancy |
Pain: wrist, neck, back, eye, shoulders, and headaches Posture Sleep troubles Anxiety (regulations, missing things, when to write notes) Providers dropping out of primary care Primary care less attractive to students |
Go talk with someone, less pinging Highlighting key findings Artificial intelligence Auto-billing Badge or fingerprint login (tap and go) Touchscreen functionality Care team work to top of license, staff support with In-basket, MAs write orders (watch out for consequences for support staff) Recurring IT training, including “elbow to elbow” “Desktop” time slots to catch up on EMR Decrease # of clicks Chat room with specialists Scribes/documentation support (help with data input) Customizable EMRs Increase contact time with patients (eg printers in rooms) |
Swimming, spinning, exercise—self care Set limits, be intentional about work, protect home time, sharpen work/life boundaries Have routines, walk at lunch More concise notes/empowerment around note writing When I’m there I’m there, when I’m not, I’m out Don’t respond quickly Think positively Remember what you cannot control Take the training and retraining Customizing your EHR Talk with residents and colleagues to learn the “tricks” of technology Reduce clinical hours or work part-time |
