Adaptations of electronic health records to activate physicians’ knowledge: how can patient centered care be improved through technology?

Creating a Better World with Information and Communication Technologies: Health Equity

“…The transformation of healthcare through the use of ICTs continued with the passing of the Patient Protection and Affordable Care Act of 2010, which mandated the integration of physician quality reporting and EHR reporting. In requiring the creation of measures and reporting of the meaningful use of the EHR and quality of care furnished to an individual, the law links the adoption of the EHR with quality of care to the patient through objectives that measure the adoption of technology by eligible providers (Blumenthal & Tavenner, 2010;Noteboom & Qureshi, 2014).…”

“…In practice, the mandated use of EHRs has actually taken physicians away from treating patients and focused their limited attention on manual data entry. Some physicians report that the quality of their care has gone down with the mandated use of the EHR largely due to increase in errors, lack of connectivity between systems and restricting physicians from applying their clinical skills (Noteboom & Qureshi, 2014).…”

A retrospective study of the prevalence of canine surgical cases in Delta State, Nigeria

“…This activity exposes them to injuries that require surgical intervention and management. This retrospective study of clinical case records serves as a valuable tool in estimation of veterinary facility's disease burden (Werehn et al, 2007), communication among veterinary clinicians and surgeons on patients' conditions (Noteboom and Qureshi, 2014) and planning on veterinary clinical facilities management and personnel development (Friedman et al, 2010).This is important in evidenced based intervention, local, state, regional and national planning for global disease control and preparedness of veterinarians. It is also a tool for estimation of regional disease burden and it serves to provide awareness amongst dog owners on the expected disease outcomes and possible prognostic intervention.…”

Knowledge Activation for Patient Centered Care: Bridging the Health Information Technology Divide

“…The literature indicates physicians resist the technology due to productivity issues, workflow challenges, lack of support and other issues related to the mismatch between the technology and healthcare delivery process [1,3,4,12,19,21,24,26]. A recent study by Noteboom and Hafner [22] found that "technological upset" takes place when physicians do not unlearn their past behaviors in order to use technology.…”

“…Noteboom and Qureshi [21] found that successful adaptation of the EHR by physicians requires the capacity of physicians to activate all three levels of knowledge for use in their work processes. The physician's adaptation of the technology can enable better knowledge activation as they assess and verify the data, solve problems and find innovative solutions to the conditions for which there are few treatments.…”