Daily Archives: January 2, 2013

Vintage Electronic Medical Records

The push to make electronic medical records goes back a very long time.  Notice what the speaker of Akron General Hospital in 1966 states as the underlying motivation of working together with the International Business Machines, Corporation (IBM).

the need to eliminate the paperwork, or at least part of the paperwork, which has burdened the nurses and the doctors in hospitals…

As advanced as computers have become today, they have yet to eliminate or reduce the workload of nurse and doctors today.

If anything, they have made it even more voluminous and onerous.  A way to document tidbits to justify reimbursements.  But just as well, building a gold mine of useless information someone can have a field day picking through sometime.  Nurses and doctors are now glorified scribes.

EMR Is Destroying The Nursing Profession.  Great Z’s.

When we implemented our new EMR a few months ago, it brought a dramatic slowdown in admission of patients into our outpatient surgery center.

The EMR was forcing the nurses to ask their patients many nonessential questions that delayed admissions but had no practical implications for the patient’ hospital stay.

As you can imagine, many of the nurses were appalled by the new rules. They had just been demoted to being computer entry clerks. The job of the preop nurses was no longer to evaluate the patient for appropriateness for surgery. Instead they’re supposed to find out if the patient had gone to the bathroom that morning and enter it into the computer. Everything else squandered too much time to be bothered with.

How sad for our nurses and the nursing profession.

An Unforeseen Complication of Electronic Medical Records.  NYT.

But there is often so much information available — some of which requires a direct and immediate response from the physician — that “some doctors liken the presence of EMR to having a 2-year-old in the exam room.”

1961 electronic medical records

 January 7, 2008