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45. RNMD: Electronic Medical Records.... the HCWs natural frenemy
EMRs contribute to HCW burnout, are disruptive to workflows, contribute to alarm fatigue, decrease patient contact time, and are a way for hospitals to bill. But also... EMRs are better at trending care, reduce prescribing errors, measure social determinants of health. Do Laura and Abby like the EMR? Do they hate the EMR? is the EMR Laura and Abby's frenemy? No one knows, but they definitely have a lot of questions like:
Is the EMR a billing software?
Do scribes increase RVUs?
Should there be price transparency in the EMR?
Should patients get immediate access to results?
Definitely good that patients can carry their records around with them.. right?
Healthcare systems don’t have the infrastructure to do counselling, so do patients get results and then not have a provider to talk to them about it?
Is it paternalism to think all doctors break bad news well?
What if a patient finds out they have cancer from checking their MRI reports at home?
New season, new cohost.
I𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:
@RNMDPodcast
@TheNocturnalNurse
References:
https://halohealth.com/blog/clinician-burnout-your-ehr-may-be-the-culprit/?gclid=Cj0KCQiAw9qOBhC-ARIsAG-rdn5NmxIgucWinebyTaDNsXQTBO2H9SFtnble5nNCs-kGwFKpuyCZTnYaAufzEALw_wcB
Robertson SL, Robinson MD, Reid A. Electronic Health Record Effects on Work-Life Balance and Burnout Within the I3 Population Collaborative. J Grad Med Educ. 2017;9(4):479-484. doi:10.4300/JGME-D-16-00123.1
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5559244/
https://www.nature.com/articles/s41746-020-0221-y
https://www.hcinnovationgroup.com/clinical-it/electronic-health-record-electronic-medical-record-ehr-emr/news/21229777/research-ehr-nudges-on-deprescribing-went-unread
https://www.annfammed.org/content/15/5/419 Annals of Family Medicine 2017
https://pubmed.ncbi.nlm.nih.gov/29649458/ American Journal Of Medicine 2018
https://www.hcinnovationgroup.com/clinical-it/news/13028353/physicians-time-evenly-split-between-seeing-patients-and-desktop-medicine Health Affairs
https://www.forbes.com/sites/brucelee/2020/01/13/electronic-health-records-here-is-how-much-time-doctors-are-spending-with-them/?sh=95293b65172a
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3037121/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371290/
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/effectiveness_of_scribes.html
https://www.ama-assn.org/practice-management/digital/ehr-scribes-cut-physician-documentation-time-half-study-says
https://www.ama-assn.org/practice-management/digital/ehr-scribes-cut-physician-documentation-time-half-study-says
---
Support this podcast: https://podcasters.spotify.com/pod/show/rnmd/support
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By RNMD
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EMRs contribute to HCW burnout, are disruptive to workflows, contribute to alarm fatigue, decrease patient contact time, and are a way for hospitals to bill. But also... EMRs are better at trending care, reduce prescribing errors, measure social determinants of health. Do Laura and Abby like the EMR? Do they hate the EMR? is the EMR Laura and Abby's frenemy? No one knows, but they definitely have a lot of questions like:
Is the EMR a billing software?
Do scribes increase RVUs?
Should there be price transparency in the EMR?
Should patients get immediate access to results?
Definitely good that patients can carry their records around with them.. right?
Healthcare systems don’t have the infrastructure to do counselling, so do patients get results and then not have a provider to talk to them about it?
Is it paternalism to think all doctors break bad news well?
What if a patient finds out they have cancer from checking their MRI reports at home?
New season, new cohost.
I𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:
@RNMDPodcast
@TheNocturnalNurse
References:
https://halohealth.com/blog/clinician-burnout-your-ehr-may-be-the-culprit/?gclid=Cj0KCQiAw9qOBhC-ARIsAG-rdn5NmxIgucWinebyTaDNsXQTBO2H9SFtnble5nNCs-kGwFKpuyCZTnYaAufzEALw_wcB
Robertson SL, Robinson MD, Reid A. Electronic Health Record Effects on Work-Life Balance and Burnout Within the I3 Population Collaborative. J Grad Med Educ. 2017;9(4):479-484. doi:10.4300/JGME-D-16-00123.1
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5559244/
https://www.nature.com/articles/s41746-020-0221-y
https://www.hcinnovationgroup.com/clinical-it/electronic-health-record-electronic-medical-record-ehr-emr/news/21229777/research-ehr-nudges-on-deprescribing-went-unread
https://www.annfammed.org/content/15/5/419 Annals of Family Medicine 2017
https://pubmed.ncbi.nlm.nih.gov/29649458/ American Journal Of Medicine 2018
https://www.hcinnovationgroup.com/clinical-it/news/13028353/physicians-time-evenly-split-between-seeing-patients-and-desktop-medicine Health Affairs
https://www.forbes.com/sites/brucelee/2020/01/13/electronic-health-records-here-is-how-much-time-doctors-are-spending-with-them/?sh=95293b65172a
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3037121/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371290/
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/effectiveness_of_scribes.html
https://www.ama-assn.org/practice-management/digital/ehr-scribes-cut-physician-documentation-time-half-study-says
https://www.ama-assn.org/practice-management/digital/ehr-scribes-cut-physician-documentation-time-half-study-says
---
Support this podcast: https://podcasters.spotify.com/pod/show/rnmd/support