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EHR: Clumsy Automation Par Excellence

New study finds that physicians spend twice as much time interacting with EHR systems as interacting directly with patients.

http://www.beckershospitalreview.com/ehrs/primary-care-physicians-spend-close-to-6-hours-performing-ehr-tasks-study-finds.html

http://www.annfammed.org/content/15/5/419.full

This is a classical example of clumsy automation. That is, automation that disrupts the normal flow of work, rather than facilitating it. It is unfortunate that healthcare is far behind other industries when it comes to understanding how to use IT to enhance the quality of every day work. While the healthcare industry promotes the potential wonders of "big data," the needs of everyday clinical physicians have been largely overlooked.

EHR systems have been designed around the problem of 'data management' and the problems of 'healthcare management' have been largely unrecognized or unappreciated by the designers of EHR systems.

In solving the 'data' problem, the healthcare IT industry has actually made the 'meaning' problem more difficult for clinical physicians.

This should be a great opportunity for Cognitive Systems Engineering innovations, IF anyone in the healthcare industry is willing to listen.

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