The Cost of Technology

Toll, Elizabeth

doi:10.1001/jama.2012.4946

Cited by 94 publications

(31 citation statements)

References 0 publications

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“…39 One cost of EHR communication is the "checkbox mentality" of templates that may discourage providers from developing a clear picture or narrative about individual patients. 40,41 This may in part be driven by EHR templates designed for easy data extraction for billing and coding, but not for inclusion of a diagnostic or therapeutic rationale connecting the discharge information to the outpatient provider's task. Studies of the VA's EHR have suggested that the practice of copying and pasting notes also leads to both "benign" and "misleading" errors, as well as to a lack of updates regarding patient conditions, and to redundant information, 42 which may point to inherent limits of EHRs compared to paper records.…”

Section: Discussionmentioning

confidence: 99%

Crossing the Communication Chasm: Challenges and Opportunities in Transitions of Care from the Hospital to the Primary Care Clinic

Rattray

Sico

Cox

et al. 2017

The Joint Commission Journal on Quality and Patient Safety

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Background: Transitions of care from specialty and acute settings to primary care abound. Compared to the continuity in end-of-shift handoffs, care transitions involve provider communication between practices and facilities with their own cultures and bureaucracies. Using the transition from acute care to outpatient primary care for stroke/transient ischemic attack (TIA) patients as a case study, this qualitative research explored communication practices and institutional arrangements among clinical providers responsible for longitudinal management of hypertension.

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Section: Discussionmentioning

confidence: 99%

Crossing the Communication Chasm: Challenges and Opportunities in Transitions of Care from the Hospital to the Primary Care Clinic

Rattray

Sico

Cox

et al. 2017

The Joint Commission Journal on Quality and Patient Safety

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“…A prime example is the clinical vignette of a patient who brought a copy of Tommy Pavletic's photograph Woman Floating under Water in White Gown to her appointment as it visually captured the feelings of dissociation that she had been having trouble putting into words (Oliveira and Oliveira 2013). A young patient's drawing of a doctor facing away from her in order to use an electronic medical record is revealing in how technology can change the doctor patient dynamic (Toll 2012).…”

Section: The Arts Can Make Medical and Nursing Students Better Clinicmentioning

confidence: 99%

Conceptualizing the arts as tools for medicine and public health

Christenson

2014

Journal of Applied Arts &Amp; Health

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The arts are often neglected in the context of modern medicine. However, they offer opportunities for greater patient understanding, improved patient comfort and treatment results, and enhanced clinical skills, personal enrichment, and resilience in medical practitioners. The application of the arts to medicine can be categorized into five main categories: medical education, prescriptive options, improved patient experience, public health and care for medical personnel.

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“…These technologies have brought efficiency, but have also vastly increased the total volume of communication and the frequency of interruptions, even during important tasks. The electronic health record (EHR) has pulled both the resident and attending physicians' focus toward the computer instead of the patient, 2 and the contemporary EHR has become a series of often unrelated notes. 3 For all these reasons and more, the job of a resident and attending staff is far more stressful today than in previous times, and continuity-a hallmark of schedules in earlier eras-has decreased.…”

Section: F or Physicians Who Were Residents In The 1970smentioning

confidence: 99%