Horst Herb wrote:
>
> And of all the feedback I had so far in almost 20 years, performance was always >
>somewhere on top of the list. If it slows you down, you don't use it.
>
Two years ago I was moderating a TEPR conference on economic impacts of
automated practice systems and a speaker made the statement that CPR and
EPR systems added time to the patient visit process for clinicians. He
put up a slide showing 15 minutes extra during initial implemenation,
slowly falling to 5-7 minutes extra after folks learned the system. And
this is an economic environment where the average patient visit time
with the clinician is pressured to be falling by 5 - 7 minutes, not
increasing!
I challenged him on where these numbers came from. Several
representatives of large companies (can we say dominant market share in
US) were in attendence, the speaker asked one them to verify his
numbers. He did.
I was shocked, but not suprised. I need to leave the names of
companies and individuals private, but I assure you this story is true.
I have heard it many times in personal conversations with physicians and
also know from personal experience that clinical systems have failed on
this account and others are only in use because the instituition hides
the costs elsewhere.
I do not believe that this situation is inevitable, but I think it's
going to take more than clever UI design to solve.
