Lisa Rosenbaum.

The blanks on our screens can be filled with phrases, but the process of understanding can’t be auto-populated. Perhaps existence without the EHR will soon be unimaginable. But the technology will support and improve medical care only if it evolves in ways that help, than hinder rather, us in synthesizing, examining, thinking critically, and informing the whole stories of our sufferers.. Lisa Rosenbaum, M.D.: Transitional Chaos or Enduring Damage? The EHR and the Disruption of Medicine A decade ago, a primary care physician We admired seemed to come undone. His performance had derived not really from rushing between individuals but from understanding them so well that his charting was effortless and fast. But instantly he became distracted, losing his grasp on the facts of his patients’ lives.Standard communication channels were used, including group-specific, computer-based training modules and daily electronic documentation by nursing personnel for all groups. On-site trained in bathing with chlorhexidine-impregnated cloths was provided to hospitals assigned to a decolonization program . Nursing directors performed at least three quarterly observations of bathing, including questioning personnel about protocol details. Investigators hosted group-specific coaching teleconferences at least regular to discuss implementation, compliance, and any new, conflicting initiatives potentially. Compliance assessment included verification on one day per week for every ICU.