NEJM May 24, 2018
Nearly all U.S. health care systems and many physician practices have by now migrated from paper charts to electronic health records (EHRs). But though this shift could have been a transformative change, current EHRs are largely digital remakes of traditional systems, just as many early motion pictures were merely plays captured on celluloid. In time, movies began using on-location settings and special effects to make the two-dimensional screen deeper than the three-dimensional stage.
As compared with other digital transformations that have redefined the way we consume information, the effect of EHRs on clinicians’ engagement seems limited and effortful. Physicians in the hospital can keep up with feeds on the Philadelphia Eagles, Taylor Swift, and the price of Bitcoin without consulting...