Improving patient-centered communication while using an electronic health record

Fogarty, Colleen T.; Winters, Paul; Farah, Subrina

doi:10.1177/0091217416659274

Cited by 4 publications

(4 citation statements)

References 17 publications

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“…A good patient-physician relationship can strengthen diagnostic accuracy [6], increase both-side satisfaction [6,7], and decrease legal complaints [8]. Despite some initial concerns, structured communication has no contradiction with data entering into electronic health records [9] and physician's time management [10]. It might be imagined that only physicians should acquire communication skills.…”

Section: Management Of Difficult Patientsmentioning

confidence: 99%

How Can Clinical Communication Skills Improve Patient-Physician Relationship Building?

Borhani-Haghighi

2022

GMJ

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Section: Management Of Difficult Patientsmentioning

confidence: 99%

How Can Clinical Communication Skills Improve Patient-Physician Relationship Building?

Borhani-Haghighi

2022

GMJ

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“…Despite these challenges, EHRs are now a part of the clinical care ecosystem and studies have identified actions that physicians can take to improve their interaction with both the patient and computer to provide more patientcentered care (11). For example, Fogarty et al identified a range of communication enhancing behaviors including the use of mobile monitors that can be shared with the patient, achieving a sufficient level of typing that does not require looking at the keyboard, explaining to the patient what you are entering into the EHR, pointing to specific elements on the screen to encourage patient engagement and reserving routine data entry for non-visit time (12). This last suggestion, while allowing more focus directly with the patient during the visit, is challenging, particularly in primary care where the burden of documentation is high (13).…”

Section: Introductionmentioning

confidence: 99%

Training to improve patient-centered electronic health record (EHR) use

Sieck¹,

Henriksen²,

Scott³

et al. 2022

J Hosp Manag Health Policy

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Background: Electronic health records (EHRs) are used across healthcare systems to reduce clinical care errors, improve care team communication, and enhance care coordination and patient safety. However, one criticism is that EHRs increase the provider's engagement with the computer and decrease engagement with the patient leading to less patient-centered care. Patient-centered care is personalized care tailored to individual patient needs and preferences. Interventions have been suggested to help manage EHR use during visits while balancing computer interaction and patient-centered care.Methods: Using the Resident-as-Teacher: a layered learning intervention, patient care training, patientcentric EHR use and team development of residents is balanced with creating a shared understanding of these processes. New interns serve as scribes for the senior residents, observing how patient care is conducted while taking notes necessary for charting and billing requirements. The intern and senior resident together navigate the EHR to ensure proper documentation. In addition, attending physicians precept every patient, providing the aspect of layered learning. The roles are then reversed and the senior resident becomes the intern's scribe. The intern is able to focus on patient care without any distractions that would have been present if the intern was fully in charge of the visit. The resident addresses any missed items with the intern before conclusion of each office visit. EHR training in this manner resulted in 15% more patient encounters while building rapport between the residents. Our assessment included an examination of patient visitcounts and an open-ended survey administered to all interns and residents. Adapting training to telehealth during COVID-19 highlights adaptations to in-person training that could be implemented in the virtual environment while maintaining connection between the preceptor and resident. For example, use of a "virtual precepting room", providing the most up to date best practice information and training residents how to provide the best possible care with the limited information received when only seeing the patient virtually.We conducted qualitative interviews with residents approximately one month into the training to assess residents' perceptions of its impact and support they received.Results: Analysis of the Resident-as-Teacher suggests that it provided more patient interactions for interns and residents, as well as facilitated rapport building on the team. For adapting training to telehealth, interviews with residents noted a few challenges but support from attendings was appreciated. Conclusions: EHRs have been viewed more as a system required in health care and less of a tool to aid in organization and communication. With appropriate training, EHRs can be an asset to clinical care while working in conjunction with patient-centered care. Providers working together during a resident training period can promote a beneficial learning curve for both patient care and reducing providers'...

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“…[4][5][6][7][8] Steps to take during patient visits Because entering information into the EHR can be distracting, be prepared to multitask during each clinical encounter. [1][2][3][4][5][6][7] Be ready to address pertinent inquiries and issues your patient raises, and provide instructions on therapies and interventions. Because interpersonal relations are important during clinical encounters, establish interaction with your patient by acknowledging them and maintaining frequent eye contact.…”

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confidence: 99%

“…7 In addition, lowering your overall stress might help reduce the burden of using the EHR. [3][4][5] Adopt healthy behaviors, including good sleep, nutrition, exercise, and hobbies, and strive for balance in your routines. Attend to any personal medical or psychiatric conditions, and avoid misusing alcohol, medications, or other substances.…”

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confidence: 99%

Improving your experience with electronic health records

Lippmann¹

2020

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Improving patient-centered communication while using an electronic health record

Abstract: Data from our program evaluation demonstrated improvement in one communication behavior. Sample size limited the detection of other changes; further research should investigate effective training techniques for patient-centered communication while using the electronic health record.

Cited by 4 publications

References 17 publications

How Can Clinical Communication Skills Improve Patient-Physician Relationship Building?

How Can Clinical Communication Skills Improve Patient-Physician Relationship Building?

Training to improve patient-centered electronic health record (EHR) use

Improving your experience with electronic health records

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