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Do EHRs Push Nurses to Lie?

Specialties General Specialties Article  
posted (Updated: )
jeastridge jeastridge, BSN, RN (Trusted Brand)

Specializes in Faith Community Nurse (FCN).

Electronic Health Records (EHR) Are Not Perfect.

EHRs can be great. But they are not perfect. While they convey facts very well, they often miss out on the bigger story behind the facts. Sometimes, nurses have to end up checking boxes that don't totally fit the situation. Is that lying? Share your thoughts! You are reading page 2 of Do EHRs Push Nurses to Lie?. If you want to start from the beginning Go to First Page.

This all reminds me of my impressions of the behavior of a specialist I saw who kept his eyes glued to whatever he was typing on his laptop. He barely approached me for the most cursory of actual physical exams. All that charting must have contained a lot of fibbing. This was a long time ago, but I distinctly remember forming a negative impression of electronic documentation from this single instance.

jeastridge, BSN, RN

Specializes in Faith Community Nurse (FCN).

9 hours ago, rzyzzy said:

Worse yet are the systems with “hard stops” built in, so you have to click a box and type a password if you clicked that box.  That’s a fine setting if it happens once or twice a day, but typing 50 or a hundred *extra* passwords doesn’t increase patient safety.  
 

much like putting excessive alarms out there, adding duplicate checkboxes and “password verification” - and multiple places where things like blood pressure *must* be entered again and again focuses the care giver on the computer and not on the patient.  

So very frustrating. Programmers may mean well but the added layers of "security" may indeed cause poorer care. Thank you for your comment.

Jedrnurse, BSN, RN

Specializes in school nurse. Has 25 years experience.

There is not enough time to do everything that needs to be done, but EHRs demand that things be documented.

"If it wasn't charted, it wasn't done."

Well...

"Just because it was charted, doesn't mean it WAS done."

jeastridge, BSN, RN

Specializes in Faith Community Nurse (FCN).

2 hours ago, Jedrnurse said:

There is not enough time to do everything that needs to be done, but EHRs demand that things be documented.

"If it wasn't charted, it wasn't done."

Well...

"Just because it was charted, doesn't mean it WAS done."

A disturbing truth...Thanks for your comment.

dracarys bsn, BSN, RN

Specializes in L&D, Epic IT. Has 16 years experience.

On 9/16/2020 at 3:01 PM, Jedrnurse said:

There is not enough time to do everything that needs to be done, but EHRs demand that things be documented.

"If it wasn't charted, it wasn't done."

Well...

"Just because it was charted, doesn't mean it WAS done."

The bolded is not really true. If your EHR is demanding you to document something, it came from your leadership for it to be built that way.

I'm an Epic analyst. Epic doesn't recommend very many hard stops at all, but hospital administration wants hard stops for everything. 

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