The Electronic Health Record and the Clinical Examination.

Autor: Hedian HF; Division of General Internal Medicine, Johns Hopkins University School of Medicine, 10753 Falls Road, Suite 325, Lutherville, MD 21093, USA. Electronic address: hhedian1@jhmi.edu., Greene JA; Department of Medicine, Johns Hopkins University School of Medicine, 1900 East Monument Street, Welch 324, Baltimore, MD 21205, USA; Department of the History of Medicine, Johns Hopkins University School of Medicine, 1900 East Monument Street, Welch 324, Baltimore, MD 21205, USA., Niessen TM; Division of General Internal Medicine, Hospitalist Program, Johns Hopkins University School of Medicine, Meyer 8-134-H, 600 North Wolfe Street, Baltimore, MD 21287, USA.
Jazyk: angličtina
Zdroj: The Medical clinics of North America [Med Clin North Am] 2018 May; Vol. 102 (3), pp. 475-483.
DOI: 10.1016/j.mcna.2017.12.009
Abstrakt: This review examines how the adoption of the electronic health record (EHR) has changed the most fundamental unit of medicine: the clinical examination. The impact of the EHR on the clinical history, physical examination, documentation, and the doctor-patient relationship is described. The EHR now has a dominant role in clinical care and will be a central factor in clinical work of the future. Conversation needs to be shifted toward defining best practices with current EHRs inside and outside of the examination room.
(Copyright © 2018 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE