Magazine article Clinical Psychiatry News

Caution: Some EHRs May Increase Risk of Liability

Magazine article Clinical Psychiatry News

Caution: Some EHRs May Increase Risk of Liability

Article excerpt

Buy our EHR. Come to a dinner and see our EHR. Our EHR is the best.

I hear that a lot but am not rushing out to get one. Yes, I have an EHR, but it's one I designed myself. It works very well for my dinky little practice, and I'm happy with it.

I get notes from practices that use commercial EHRs all the time. They're usually a pile of gobbledygook, mixing labs, vital signs, medication lists, and ICD-10 codes that tell you absolutely nothing about the patient or the physician's thought process.

Recently, while reviewing malpractice cases, I saw some where I thought that the EHR was contributing to the problem. Medication lists that showed everything a patient had ever taken, without showing when some were discontinued. Prescribing lists that allowed you to enter only certain doses or schedules, therefore blocking the physician from tailoring them to a specific person's needs. Physical exam forms that allowed only positive or negative answers, with nowhere to comment on unusual findings.

Of course, I'm just one person, so I thought "maybe it's just me." After all, a lot of practices out there use EHRs.

But apparently I'm not the only one. …

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