Lisa Rosenbaum.

Lisa Rosenbaum, M.D.: Transitional Enduring or Chaos Harm? The EHR and the Disruption of Medicine A decade ago, a primary care physician We admired seemed to come undone . His performance had derived not really from rushing between patients but from knowing them so well that his charting was effortless and fast. But suddenly he became distracted, losing his grip on the details of his patients’ lives. He slumped around, shirt half-untucked, perpetually pulling a yellowed handkerchief from his pocket to wipe his perspiring forehead. Everyone concerned he was unwell. His problem, however, ended up being the electronic health record . Investigating the main causes, Wachter discovers design flaws, such as defaulting to certain models for medicine dosing and alerts rendered meaningless by their sheer quantity.

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