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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

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Published on: April 12, 2021

The electronic medical record: optimizing human not computer capabilities.

Daniel Luchins¹

¹Mental Health Research, Jesse Brown VAMC, 820 S. Damen Avenue, Chicago, IL 60612, USA. Daniel.luchins@va.gov

Administration and Policy in Mental Health

|August 8, 2009

Summary

This summary is machine-generated.

Standardized electronic medical records may not improve patient outcomes and could hinder clinical decision-making. Computerization offers a chance to capture unique patient narratives, moving beyond rigid templates for better care.

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Area of Science:

Health Informatics
Clinical Decision Support
Medical Record Management

Background:

Electronic medical records (EMRs) are increasingly adopted for standardized documentation.
Mandatory templates and data fields aim to improve record thoroughness and quality assurance.
Evidence supporting improved clinical outcomes from these standardized measures is lacking.

Purpose of the Study:

To evaluate the impact of standardized EMR measures on clinical outcomes.
To explore the potential of EMRs to capture narrative clinical information.
To question the assumption that computerization necessitates standardization.

Main Methods:

Analysis of existing literature on standardized medical records and clinical outcomes.
Conceptual exploration of EMR capabilities beyond data entry.
Discussion of the cognitive impact of standardized versus narrative documentation.

Main Results:

Limited evidence suggests standardized EMR measures improve clinical outcomes.
Standardized measures may interfere with clinicians' cognitive processes for memory and decision-making.
Current EMR designs often prioritize administrative oversight over clinical utility.

Conclusions:

Standardized EMR measures may impede rather than improve patient care.
EMRs should be leveraged to capture the unique, narrative aspects of clinical encounters.
Future EMR development should focus on supporting, not replacing, clinical judgment and narrative formation.