Computers and productivity: is it time for a reality check?

Academic Medicine : Journal of the Association of American Medical Colleges
M E Frisse

Abstract

Many clinicians and administrators in academic medical centers have eagerly embraced the idea of a comprehensive computer-based patient record (CPR), and either are contemplating implementing such a system or have already begun implementing one. Most believe that CPR systems will lead to greater productivity and clinical efficiency, and ultimately to better patient outcomes at lower cost. But there is a gamble in all of this. It is possible that in some settings a CPR system's potential will not be realized because of poor implementation, poor organization, or excessive and unanticipated costs. Given the high stakes associated with CPR implementations, it is important that medical centers move more cautiously, always asking the question "What if these systems do not work?" The author of this article considers worst-case scenarios of CPR deployment as well as evidence from industry and government that undermines claims that CPR deployment will inevitably confer greater productivity and efficiency. He challenges readers to think hard about the cost-benefit ratios of both CPR systems and paper-based systems, and to commit to an institutional "bill of rights" before forging ahead with CPR deployment.

Citations

Feb 28, 2006·Journal of the American Medical Informatics Association : JAMIA·Mark E Frisse
Jan 25, 2003·The Journal of Nursing Administration·Lisa M KorstKimberly D Gregory

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2021 Meta ULC. All rights reserved