Comments on: How much do we like our new EMR?

By: My EMR and I | My Blog

My EMR and I | My Blog — Sun, 07 Mar 2010 03:48:04 +0000

[...] only taken Grunt Doc four days to fall in love with his new electronic medical record [...]

By: Andy Stones

Andy Stones — Wed, 27 May 2009 17:24:21 +0000

I agree with Goatwhacker that its the staff that runs the hospital not EMR system, they only help in saving valuable time and in managing records of patient and make them easily accessible by doctors when needed

By: Jay Andrews

Jay Andrews — Fri, 22 May 2009 04:21:04 +0000

EMR system is to improve work flow and overall efficiency within the practice and allow providers to provide enhanced quality care and patient safety.EMRs helps in keeping records of health information that patients tend to forget with time, i.e. inoculations, previous illnesses and medications

By: GruntDoc

GruntDoc — Sun, 12 Oct 2008 15:30:40 +0000

We do our own CPOE. We have our scribes, who used to help with the documentation on paper, now do it in the EMR. Physicians in high-volume, high acuity places that aren’t using scribes are losing a lot of efficiency.

By: Goatwhacker

Goatwhacker — Sun, 12 Oct 2008 13:03:04 +0000

Gruntdoc, I’m glad your EMR is working out well but am I right that you’re not actually doing order entry or entering notes? That’s kind of like saying your new car drives great because your chauffeur told you so. It sounds like a big part of the reason your EMR works well for you is that you have excellent support staff, while in many hospitals one reason for the EMR is to REPLACE the support staff.

By: Nurse 1961

Nurse 1961 — Sat, 11 Oct 2008 23:26:29 +0000

Now if we could only the the physician’s to realize that we need to have access to the computers on the central desk, since that is where the phones are!!!!

Kind of hard to call the floor to tell them a patient is ready to come up or call report to ICU, notify CT that the patient has completed their PO contrast and that we are coming over with a level 1 trauma, or to call the attending physician for orders on the hold patients. Never mind getting access to the Language line phone, it is buried behind the computers, hope you don’t need it.

But I guess that is not as important as their order entry. After all the scribe has a laptop to do the charting, enter orders, and notes. I will grant them that is does take about 30 seconds to release the pending orders, wouldn’t want to slow them down.

Look at the big picture, and see that the nurses have a tough job too.

By: Jessica from emergispace

Jessica from emergispace — Sat, 11 Oct 2008 18:36:12 +0000

I am so glad to here there is hope on the horizon for EMR’s. I work just miles from silicon valley, and I find it odd that none of the local ED’s around here (that I know of) have EMR’s. The EMR’s I have used in California have been abysmal. I can not wait for a critical mass of decent systems to take hold. I have a couple of theories regarding why this has been the case in most hospitals that I have spoken about in my blog. I’m also hoping to get a list and discussion of great ED products/systems on the left side-bar for easy reference. I’m trying to keep it positive so I am only including good things there (not to mention the fact that we could fill a lot more pages with things we don’t like, and ultimately that may not be as helpful).

Jessica

By: Greg P

Greg P — Fri, 10 Oct 2008 00:09:43 +0000

In any decent EMR, this is the expected result. We have had it in the office for several years now, and it’s really indispensable.
Even in the hospital, when faced with the choice of bringing an old record up yourself online, or getting a paper chart brought in from medical records, which is more likely to happen?

I do envy anyone who has the ability to customize the performance of their EMR, since we can’t do this in the office (to any significant degree), nor in any of the hospitals I go to. One serious deficit of the EMR makers seems to be an understanding of the need, the power of being able to search for information in old charts by category, by content, by various other things we do ALL THE TIME on the internet.

By: MyOwnWoman

MyOwnWoman — Thu, 09 Oct 2008 23:22:39 +0000

We went to complete EMR in our ER about 2 months ago. I love the system and find that so much more is documented with much less time. I was surprised to find that those most resistent to the change were the doctors; but even that has changed now. I like the fact that we can “tweak” our system to do what we want for our particular hospital. I’m one of the people who changes the documentation to say what we want it to say. We’ve built our own QA requirements in the system and have made it impossible to leave the chart unfinished without having something “flash” at you stating a required field is incomplete. Our core measures have improved greatly along with our compliance for our quality compliance. I just can’t say enough good things about our EMR.

I am now in the progress of getting my daughter’s doctor’s office off the ground with an EMR…. it will be able to capture those minute lost charges that PCP lose each year in addition to reminding the doc that a patient is due for routine labs, X-rays, etc.

By: Ian Furst

Ian Furst — Thu, 09 Oct 2008 12:59:05 +0000

thanks — we’ve made templates that a motivated doc can modify without much help – one guy has about 30 variations that covers most patients. We also have a transcription module built into the EMR system so the voice note is always attached to the chart.