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View Diary: Electronic Medical Records: A Primer (118 comments)

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  •  As a physician using an EMR for (0+ / 0-)

    5 years, I beg you in your role as developer to make us have less clicks to get to any particular function.  One example:  the new Meaningful Use parameters require us to print out a Clinic Visit Summary (creating more paper in our paperless system).  To do that I have to open one window (click 1) to go to a button that says print (click 2) that takes me to another window where I select what I want to print from a list of only one item (click 3) and then after that I have to click the button "print" (click 4).  Then, as if I wanted to see it, the print window opens up and blocks me from going anywhere else until I (click 5) close it.  Similarly, to get credit for updating the problem list, not only do I have to actually update the problem list, but I have to click a button that says I did.  Same with the Med list and the Allergy list.  

    Now in the gaming world, I doubt if the programmers make you have to open a window when you want to clobber your enemy so you can select a weapon, then open another window to say how hard you want to hit, and then take you to another window to let you confirm that from a list of one thing and then to another button to actually engage the clobber.  And then have a window appear letting you know the clobbering is happening blocking you from dodging the counter-clobber coming your way.

    Please join the "Save a Click Club" and do whatever you can to influence this Hell of excess clicking.  

    I was wise enough to never grow up while fooling most people into believing I had. - Margaret Mead

    by fayea on Sun Feb 26, 2012 at 12:18:21 PM PST

    •  Oh, yeah, I get the safety first bit, but... (0+ / 0-)

      if y'all make it so cumbersome and slow to do our work, we see less patients per day.  The patient who got left out is not feeling the safety.  Efficiency is a safety concern when we are talking about patient lives.  

      Sorry to rant at you because none of this is really directed at you personally.  It's just that your article opens up a wealth of pent up frustrations that we end users have no one to share with.  Thanks for the work you do.  

      I was wise enough to never grow up while fooling most people into believing I had. - Margaret Mead

      by fayea on Sun Feb 26, 2012 at 12:24:09 PM PST

      [ Parent ]

      •  Definitely (1+ / 0-)
        Recommended by:
        fayea

        One of the things that gets drilled into us is that physicians tend to count clicks and absolutely hate clicking more than they need to.

        I believe for our software, you finish the visit and click the "Print After-Visit Summary" button and it prints to the assigned printer. If you want another copy, you hit the button again. No choice as to where you want to print, but honestly, how often do you need to change where a particular computer prints to?

    •  It's a balancing act (1+ / 0-)
      Recommended by:
      fayea

      If we put too much one one page, we get complaints that it's too busy and confusing. Not enough, and we get complaints that it requires too many clicks. We don't always get it right, but I think we tend to lean towards erring on the side of fewer clicks for new development.

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