Do electronic health record systems “dumb down” clinicians?

Author:

Melton Genevieve B123ORCID,Cimino James J456ORCID,Lehmann Christoph U78910ORCID,Sengstack Patricia R1112,Smith Joshua C13,Tierney William M1415,Miller Randolph A13

Affiliation:

1. Department of Surgery, University of Minnesota , Minneapolis, Minnesota, USA

2. Center for Learning Health System Sciences, University of Minnesota , Minneapolis, Minnesota, USA

3. Institute for Health Informatics, University of Minnesota , Minneapolis, Minnesota, USA

4. Department of Medicine, University of Alabama at Birmingham , Birmingham, Alabama, USA

5. Informatics Institute, University of Alabama at Birmingham , Birmingham, Alabama, USA

6. Center for Clinical and Translational Science, University of Alabama at Birmingham , Birmingham, Alabama, USA

7. Department of Pediatrics, University of Texas Southwestern Medical Center , Dallas, Texas, USA

8. Department of Population & Data Sciences, University of Texas Southwestern Medical Center , Dallas, Texas, USA

9. Lyda Hill Department of Bioinformatics, University of Texas Southwestern Medical Center , Dallas, Texas, USA

10. Clinical Informatics Center, University of Texas Southwestern Medical Center , Dallas, Texas, USA

11. School of Nursing, Vanderbilt University , Nashville, Tennessee, USA

12. Frist Nursing Informatics Center, Vanderbilt University , Nashville, Tennessee, USA

13. Department of Biomedical Informatics, Vanderbilt University , Nashville, Tennessee, USA

14. Richard M. Fairbanks School of Public Health, Indiana University , Indianapolis, Indiana, USA

15. Department of Population Health, University of Texas at Austin Dell Medical School , Austin, Texas, USA

Abstract

Abstract A panel sponsored by the American College of Medical Informatics (ACMI) at the 2021 AMIA Symposium addressed the provocative question: “Are Electronic Health Records dumbing down clinicians?” After reviewing electronic health record (EHR) development and evolution, the panel discussed how EHR use can impair care delivery. Both suboptimal functionality during EHR use and longer-term effects outside of EHR use can reduce clinicians’ efficiencies, reasoning abilities, and knowledge. Panel members explored potential solutions to problems discussed. Progress will require significant engagement from clinician-users, educators, health systems, commercial vendors, regulators, and policy makers. Future EHR systems must become more user-focused and scalable and enable providers to work smarter to deliver improved care.

Publisher

Oxford University Press (OUP)

Subject

Health Informatics

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