Electronic Health Records
Authors: John W. Beasley, Christine A. Sinsky
Journal: Annals of Internal Medicine (2014)

Letters4 November 2014Electronic Health RecordsJohn W. Beasley, MD and Christine A. Sinsky, MDJohn W. Beasley, MDFrom University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, and Medical Associates Clinic and Health Plans, Dubuque, Iowa. and Christine A. Sinsky, MDFrom University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, and Medical Associates Clinic and Health Plans, Dubuque, Iowa.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/L14-5021-6 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We appreciate the comments on our essay and join Dr. Miller in wishing that we had written it 10 years ago. Electronic health records were designed and implemented without a fundamental understanding of the real needs of primary care clinicians and staff or any systematic attempt to evaluate the effect on patients or caregivers. An analogy between implementing EHRs without understanding the needs of clinicians or potential hazards and introducing a new medication without understanding the cellular biology of patients or attempting postmarketing surveillance on effectiveness or adverse effects can be made.To understand the "basic science" of ...References1. Friedberg MW, Chen PG, Van Busum KR, Aunon F, Pham C, Caloyeras K. Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy. Santa Monica, CA: RAND Corporation; 2013. Accessed at www.rand.org/content/dam/rand/pubs/research_reports/RR400/RR439/RAND_RR439.pdf on 28 September 2014. Google Scholar2. Howard PK. The Rule of Nobody. New York: WW Norton; 2014. Google Scholar3. Sinsky CA, Beasley JW. Texting while doctoring: a patient safety hazard. Ann Intern Med. 2013;159:782-3. [PMID: 24297196] doi:10.7326/0003-4819-159-11-201312030-00012 LinkGoogle Scholar4. Asan O, D Smith P, Montague E. More screen time, less face time - implications for EHR design. J Eval Clin Pract. 2014. [PMID: 24835678] doi:10.1111/jep.12182 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: John W. Beasley, MD; Christine A. Sinsky, MDAffiliations: From University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, and Medical Associates Clinic and Health Plans, Dubuque, Iowa.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-2589. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoElectronic Health Records: Design, Implementation, and Policy for Higher-Value Primary Care Christine A. Sinsky , John W. Beasley , Greg E. Simmons , and Richard J. Baron Electronic Health Records: Design, Implementation, and Policy for Higher-Value Primary Care Christine A. Sinsky , John W. Beasley , Greg E. Simmons , and Richard J. Baron Electronic Health Records Michael E. Miller Electronic Health Records Alan W. Feld Electronic Health Records Alan W. Feld Electronic Health Records Michael E. Miller Metrics Cited byLeveraging Dual Blockchain to Solve Security Issues in Electronic Health RecordsA study of the adoption behaviour of an Electronic Health Information Exchange System for a Green economy 4 November 2014Volume 161, Issue 9Page: 680KeywordsCaregiversConflicts of interestDisclosureElectronic medical recordsEngineersHealth careResearch reporting guidelines ePublished: 4 November 2014 Issue Published: 4 November 2014 Copyright & PermissionsCopyright © 2014 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...