How Did Our Medical Notes Become So Useless?

Re:How Did Our Medical Notes Become So Useless? by Scoundreller on Friday January 04, 2019 @04:06PM (#18827613)

It seems like most of these articles focus on the documentation side.

There are other elements, like med/consult/lab/diagnostic imaging orders going to the relevant person/department instantly. With a handy interface for following them along, cancelling or re-scheduling them at any time.

A nurse doesn’t need to follow a provider around to find out what the new orders are, they show up automatically on their own task scheduler.

Providers can enter orders remotely.

Or allergies just getting verified instead of collected from scratch each visit.

Or billing/appointments happening electronically instead of manually completing forms.

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Re:How Did Our Medical Notes Become So Useless? by nickda on Friday January 04, 2019 @05:59PM (#18828556)

This is true, but the interaction between the doctor and the nurse was invaluable. The context of those orders and the nurse's knowledge of the patient were used to come up with a plan together. Reducing that interaction to "order giver" and "order taker" greatly reduces the quality of patient care. I was recently in the hospital for a week and this was an issue several times.

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Re:How Did Our Medical Notes Become So Useless? by Scoundreller on Friday January 04, 2019 @07:16PM (#18829000)

That asynchronous behaviour happened in the paper world too. Make chart entries, send paper orders to pharmacy/lab, flag it for the other care providers.

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