Lisa Rosenbaum.

However now I must put my most talented staff on this problem actually before sorting out the fundamentals of transmitting details. In our iPhone-reverent age, the dismissal of EHR critics as Luddites is usually supported by the recognition that technologies we once couldn’t imagine we now can’t live without. But the assumption that EHR development will mirror the cell phone’s trajectory has three notable flaws. The EHR is certainly touted as a cost-saving, quality-promoting device, though cost-saving projections have already been debunked and data on quality are mixed.2 Although we’ve made progress in patient safety only by carefully examining our errors, somehow the risks posed by technology are expected to right themselves.There’s the essential care doctor who, struggling to identify new information in daily notes, has begun printing them out and holding two superimposed pages up to the light to discover what’s changed. I could be youthful. Doctors retiring early. Small practices bankrupted by up-front expenditures or locked into ineffective systems by the prohibitive price of switching. Hours consumed by onerous data entry unrelated to patient treatment. Workflow disruptions. And most importantly, massive intrusions on our affected individual relationships. These complaints may be dismissed as growing pains, born of resistance to improve.