Tech Thoughts from a Hospital Bed

After emergency surgery, a few observations on the clinical narrative, the value of the medical record in any form, and the small miracles that make our healthcare system hum.

2 comments on "Tech Thoughts from a Hospital Bed"
anita panganiban (7/2/2014 at 2:49 PM)

Hello! I hope you are recovering nicely, and I had the same experience. On my way to a conference, ER for a ruptured appendix, and my road was a longer one, complications, etc. Software driven care and patient room technology were of great interest to me! A healing touch, extra care, and advocacy on behalf of the patient is always personally driven, and those things mean the most. Best of luck in your recovery! Anita
Michael Jon Cohen M.D. (7/2/2014 at 2:41 PM)

I enjoyed reading your post. I would love to hear your thoughts on the clinical narrative as presented by the electronic medical record. From my standpoint and the overwhelming majority of my colleagues, the EMR is merely a data dump. Whereas a patient's course could previously be summarized in a succinct daily quarter page progress note, a day in the life of a EMR record is often many pages, and the reader has to search to cullout the important entries. EMR has obviously made some communication easier (no lost paper charts). It has failed miserably however in that it does not tell a story, has championed documentation over all, and with its lack of interoperability, has not lessened the cost of care.


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