Explorations in the Design and Implementation of Clinical Information Systems
Dealing with abnormal test results was one of the main misery points during my years in practice. It was too easy for things to fall through the cracks. When clinicians receive an abnormal result, the usual steps are: review the patient’s chart, decide what to do, and take action. Proper management may require additional tests, [...]
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I have been plugging away at discrete math for a while now. I can say, with no reservations, that it has been worth it. I did not just decide one day to study DM. This all started as an attempt to understand graph theory as it applies to workflow analysis. Books and papers I have [...]
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It is a well-established fact that adequate training is essential for a successful EHR implementation. In my experience, the term “training” is often used to describe a range of activities, each of which is essential for success. The amount of training and the type of training are equally important when implementing an EHR. Types of [...]
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Once the workflow analysis for a task has been completed, it can be used to create a test script for EHR evaluation. There is no standard process for creating a test script. The method described here is one that I used for the 1917 Clinic EHR project. Since there is no single correct way of [...]
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The ultimate purpose of an EHR is to assist in caring for patients. Analyzing personal workflows aids in gathering the information required to choose the best product. Personal workflow analysis is easier to do than group workflow analysis because the focus is on the activities of only one person. How you choose to document your [...]
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Every EHR is designed to work a certain way. The number of mouse clicks required to write a prescription; the number of screens viewed to order a lab; and the number of buttons pressed to generate a report all reflect the designers’ assumptions about how specific tasks are best accomplished. The combination of clicks, screens, [...]
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Welcome to EHR Science! I have been looking forward to launching this blog for about a year. My eagerness to start blogging is not due to an urgent need to share my opinions, but more so because I hope to connect with others who are drawn to the exciting challenges that have arisen at the [...]
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The EHR Science Blog presents the musings of Jerome H. Carter, MD, CEO of NTM Informatics, Inc. He is also the editor of Electronic Health Records, Second Edition, published by the American College of Physicians.
Posts on this blog are the personal views of Dr. Carter and do not reflect the official policies or positions of the American College of Physicians.