According to a time and motion study published in the Annals of Internal Medicine, doctors in four specialties spend only 27% of their work day on direct clinical interface with patients, and 49% with EHR or other desk work. Even in the exam room, 53% of time was used directly interacting with patients and 37% using an EHR.
Research in the Journal of the American Informatics Association finds that paper physician progress notes for hospitalized patients are more accurate than those in EHRs, but less comprehensive. The overall rate of accuracy is an astoundingly low 55%.
A survey published in the Mayo Clinic Proceedings supports the very low satisfaction physicians have with EHRs and order entry systems and finds that greater use of EHRs is associated with faster burnout.
Widespread use of electronic medical records has been heavily promoted and incented as a revolution in health care quality, but the reality is of course much different, according to a new study in JAMIA.
The US isn't the only country bedeviled by inadequate HIT, a well-respected hospital implementing an EPIC system was found by the United Kingdom's Clinical Quality Commission to have serious problems, some of which endangered patient safety.
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at [email protected].