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Editorials |6 December 2016

Electronic Health Records: An Unfulfilled Promise and a Call to Action

Susan Hingle, MD

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This article was published at www.annals.org on 6 September 2016.
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Sinsky and colleagues (1) confirm what many practicing physicians have claimed: Electronic health records (EHRs), in their current state, occupy a lot of physicians' time and draw attention away from their direct interactions with patients and from their personal lives. Observers documented that for every hour of direct clinical time with patients, physicians spent 2 additional hours on EHR and desk work, and physicians reported spending up to an additional 1 to 2 hours of after-hours personal time completing documentation and EHR tasks. These observations have important implications for patient care and outcomes.
A recent study found that physicians who use EHRs and computerized physician order entry have decreased satisfaction and a higher risk for professional burnout (2). Physicians who burn out are at a significantly greater risk for depression and suicidal ideation, and there is also concern that they are more likely than satisfied colleagues to provide lower-quality patient care and to leave clinical practice early (3), although this is difficult to fully measure.
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Hingle S. Electronic Health Records: An Unfulfilled Promise and a Call to Action. Ann Intern Med. ;165:818–819. doi: 10.7326/M16-1757

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Published: Ann Intern Med. 2016;165(11):818-819.

DOI: 10.7326/M16-1757

Published at www.annals.org on 6 September 2016

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2016 American College of Physicians
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