Disrupting Electronic Health Records Systems: The Next Generation.
The health care system suffers from both inefficient and ineffective use of data. Data are suboptimally displayed to users, undernetworked, underutilized, and wasted. Errors, inefficiencies, and increased costs occur on the basis of unavailable data in a system that does not coordinate the exchange of information, or adequately support its use. Clinicians' schedules are stretched to the limit and yet the system in which they work exerts little effort to streamline and support carefully engineered care processes. Information for decision-making is difficult to access in the context of hurried real-time workflows. This paper explores and addresses these issues to formulate an improved design for clinical workflow, information exchange, and decision making based on the use of electronic health records.
Beth Israel Deaconess Medical Center, Division of Pulmonary, Critical Care, and Sleep Medicine, Boston, MA, United States. lceli@bidmc.harvard.edu.
Leo Anthony
http://orcid.org/0000-0001-6712-6626
LA
Celi
Jeffrey David
http://orcid.org/0000-0002-1879-9274
JD
Marshall
Yuan
http://orcid.org/0000-0003-0664-5048
Y
Lai
David J
http://orcid.org/0000-0003-4855-4283
DJ
Stone
clinical decision making; clinical decision support; electronic health records; electronic notes