Do electronic health record systems "dumb down" clinicians?

Genevieve B. Melton, James J. Cimino, Christoph U. Lehmann, Patricia R. Sengstack, Joshua C. Smith, William M. Tierney, Randolph A. Miller

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)172-177
Number of pages6
JournalJournal of the American Medical Informatics Association
Volume30
Issue number1
DOIs
StatePublished - Jan 1 2023

Bibliographical note

Publisher Copyright:
© The Author(s) 2022. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissions@oup.com.

Keywords

  • HITECH act (American Recovery and Reinvestment Act)
  • burnout
  • cognition
  • documentation
  • electronic health records
  • professional
  • psychological

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