What can a good order set really do for patients?

A real-life example is the best way to show the value of a good order set within a locally programmable electronic medical record (EMR).  Of course, any EMR that is not locally programmable would seem categorically untenable to me – no two organizations are alike on a host of internal and external measures that require a flexible EMR solution. Here’s a great story of how one large multi-hospital Allscripts client—as part of its continuous efforts to improve care—helped clinicians and the organization help stroke patients leveraging local programmability. They had successfully addressed a host of clinical challenges one at a time, and next turned specifically to better serving patients with new-onset stroke. Using best practices more consistently First, the 13 generally accepted, evidence-based best practices for treating stroke patients provided the goal. For example, completing a lipid profile within 24 […]


The truth about declining clinician satisfaction with EPRs

As electronic patient records (EPRs)* become commonplace, there’s more we can learn from clinician feedback. It’s important to know what they think, because staff perception shapes satisfaction, adoption rates and ultimate success and impact with EPRs clinically and organizationally. It was a privilege to contribute to the recent article in HSS Journal about clinician satisfaction and its variability over time.  Working with an orthopedic teaching hospital moving from a paper-based system to an EPR, we found that clinicians were initially elated with the change. Then their satisfaction dropped. What a curious pattern, since anecdotally their satisfaction and adoption continued to rise. At first, this change in satisfaction sounded like a bad thing. No one wants to see EPR satisfaction decreasing, right? But after evaluating the results reported in this study, I’d argue it’s exactly what we should have anticipated we’d […]