Editorial

. 2022 Dec 13;30(1):172-177.

doi: 10.1093/jamia/ocac163.

Do electronic health record systems "dumb down" clinicians?

Genevieve B Melton^{1

2

3}, James J Cimino^{4

5

6}, Christoph U Lehmann^{7

8

9

10}, Patricia R Sengstack^{11

12}, Joshua C Smith¹³, William M Tierney^{14

15}, Randolph A Miller¹³

Affiliations

¹ Department of Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
² Center for Learning Health System Sciences, University of Minnesota, Minneapolis, Minnesota, USA.
³ Institute for Health Informatics, University of Minnesota, Minneapolis, Minnesota, USA.
⁴ Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
⁵ Informatics Institute, University of Alabama at Birmingham, Birmingham, Alabama, USA.
⁶ Center for Clinical and Translational Science, University of Alabama at Birmingham, Birmingham, Alabama, USA.
⁷ Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
⁸ Department of Population & Data Sciences, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
⁹ Lyda Hill Department of Bioinformatics, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
¹⁰ Clinical Informatics Center, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
¹¹ School of Nursing, Vanderbilt University, Nashville, Tennessee, USA.
¹² Frist Nursing Informatics Center, Vanderbilt University, Nashville, Tennessee, USA.
¹³ Department of Biomedical Informatics, Vanderbilt University, Nashville, Tennessee, USA.
¹⁴ Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, Indiana, USA.
¹⁵ Department of Population Health, University of Texas at Austin Dell Medical School, Austin, Texas, USA.

PMID: 36099154
PMCID: PMC9748538
DOI: 10.1093/jamia/ocac163

Editorial

Do electronic health record systems "dumb down" clinicians?

Genevieve B Melton et al. J Am Med Inform Assoc. 2022.

. 2022 Dec 13;30(1):172-177.

doi: 10.1093/jamia/ocac163.

Authors

Genevieve B Melton^{1

2

3}, James J Cimino^{4

5

6}, Christoph U Lehmann^{7

8

9

10}, Patricia R Sengstack^{11

12}, Joshua C Smith¹³, William M Tierney^{14

15}, Randolph A Miller¹³

Affiliations

¹ Department of Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
² Center for Learning Health System Sciences, University of Minnesota, Minneapolis, Minnesota, USA.
³ Institute for Health Informatics, University of Minnesota, Minneapolis, Minnesota, USA.
⁴ Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
⁵ Informatics Institute, University of Alabama at Birmingham, Birmingham, Alabama, USA.
⁶ Center for Clinical and Translational Science, University of Alabama at Birmingham, Birmingham, Alabama, USA.
⁷ Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
⁸ Department of Population & Data Sciences, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
⁹ Lyda Hill Department of Bioinformatics, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
¹⁰ Clinical Informatics Center, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
¹¹ School of Nursing, Vanderbilt University, Nashville, Tennessee, USA.
¹² Frist Nursing Informatics Center, Vanderbilt University, Nashville, Tennessee, USA.
¹³ Department of Biomedical Informatics, Vanderbilt University, Nashville, Tennessee, USA.
¹⁴ Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, Indiana, USA.
¹⁵ Department of Population Health, University of Texas at Austin Dell Medical School, Austin, Texas, USA.

PMID: 36099154
PMCID: PMC9748538
DOI: 10.1093/jamia/ocac163

Erratum in

Correction to: Do electronic health record systems "dumb down" clinicians?
[No authors listed] [No authors listed] J Am Med Inform Assoc. 2022 Nov 14;29(12):2207. doi: 10.1093/jamia/ocac171. J Am Med Inform Assoc. 2022. PMID: 36130193 Free PMC article. No abstract available.

Abstract

A panel sponsored by the American College of Medical Informatics (ACMI) at the 2021 AMIA Symposium addressed the provocative question: "Are Electronic Health Records dumbing down clinicians?" After reviewing electronic health record (EHR) development and evolution, the panel discussed how EHR use can impair care delivery. Both suboptimal functionality during EHR use and longer-term effects outside of EHR use can reduce clinicians' efficiencies, reasoning abilities, and knowledge. Panel members explored potential solutions to problems discussed. Progress will require significant engagement from clinician-users, educators, health systems, commercial vendors, regulators, and policy makers. Future EHR systems must become more user-focused and scalable and enable providers to work smarter to deliver improved care.

Keywords: HITECH act (American Recovery and Reinvestment Act); burnout; cognition; documentation; electronic health records; professional; psychological.

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Figures

**Figure 1.**
Lack of attention to EHR details can obfuscate patients’ histories. EHR: electronic health record.

**Figure 2.**
Postulated mechanism for narrowing of clinicians’ descriptive vocabularies over time.

See this image and copyright information in PMC

Comment on

Correction to: Do electronic health record systems "dumb down" clinicians?
[No authors listed] [No authors listed] J Am Med Inform Assoc. 2022 Nov 14;29(12):2207. doi: 10.1093/jamia/ocac171. J Am Med Inform Assoc. 2022. PMID: 36130193 Free PMC article. No abstract available.

References

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1. Gardner RM, Pryor TA, Warner HR.. The HELP hospital information system: update 1998. Int J Med Inform 1999; 54 (3): 169–82. - PubMed
1. Teich JM, Glaser JP, Beckley RF, et al. The Brigham integrated computing system (BICS): advanced clinical systems in an academic hospital environment. Int J Med Inform 1999; 54 (3): 197–208. - PubMed
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1. Brown SH, Lincoln MJ, Groen PJ, et al. VistA–U.S. Department of Veterans Affairs national-scale HIS. Int J Med Inform 2003; 69 (2–3): 135–56. - PubMed

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Do electronic health record systems "dumb down" clinicians?

Affiliations

Do electronic health record systems "dumb down" clinicians?

Authors

Affiliations

Erratum in

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