Development of the electronic health record.
Development of the electronic health record.
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DOI：
10.1001/virtualmentor.2011.13.3.mhst1-1103
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发表时间：
2011-03-01
期刊：
影响因子：
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通讯作者：
Atherton, Jim
中科院分区：
文献类型：
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作者：
Atherton, Jim
奥巴马总统在其2009年《美国复苏和再投资法案》中支持建立全国电子健康记录系统，这使人们对当前医疗记录保存程序的不足给予了极大关注。由于许多住院医师目前使用EHR，而且几乎所有住院医师将来都将使用EHR，因此了解当前EHR系统的演变、其发展的关键参与者以及进一步研究的资源可能是有价值的。系统崩溃使诊所瘫痪，系统响应时间差考验用户耐心，多个系统密码造成冗余和挫折，过度依赖EHR代替直接的专业间通信会损害患者护理。尽管存在这些问题，使用EHR还是有好处的，它的继续存在就像互联网一样确定。
President Obama’s support for a national system of electronic health records (EHR) in his American Recovery and Reinvestment Act of 2009 has focused much attention on the inadequacy of current medical recordkeeping procedures. Since many resident physicians currently use EHR and nearly all will be using them in the future, it may be of value to understand the evolution of the current EHR system, the key players in its development, and resources for further study.Much interaction with EHR is less than ideal. System crashes paralyze clinics, poor system response times test user patience, multiple system passwords create redundancy and frustration, and overreliance on EHR in lieu of direct interspecialty communication can impair patient care. Despite these problems, there are advantages to using EHR, and its continued existence is as certain as the Internet’s.