Healthcare computing and the use of the electronic health record has been a difficult roll out.
I worked for a very fine bunch of Portugese medical system computer experts for a time. They wanted to break into the electronic medical record market in America. They had some paperless hospitals they developed in Europe.
Fascinating to see what a big deal computing has become. I am not a good nerd, worked for them to advise them on medical care and medical risk management content, have no software or hard ware expertise at all. I use computers when I work for the Army and the computer is my typewriter and search/email engine at home, but computers in health care are intended to create a seamless digital record, nursing and physician notes and orders sheets, reports, consultations, operative and anesthesia records, recovery room records, medication records, therapy records, dietary, respiratory therapy, social services reports, vital signs records and more. on and on. a lot of stuff.
Read a computerized hospital record and it can easily get to hundreds of pages for a short stay, much, much more for a long one.
Now we find out that implementation is still going slowly and there are lots of problems. Sometimes commitment to electronic records still doesn’t gitterdun. One example is a famous 100 million dollar dud in a major California healthcare system. They just shutterdown when the docs threatened a revolt.
We have a big computer commitment in the DOD but people are not happy with how it sucks a lot of energy and time from patient care.
Computers are tools. I think they take up too much time and energy from the nurses and physicians.
They eat you up with all the screens and questions to be answered and medical care is pretty burdensome to think about , much less to document compulsively.
30 years ago my father, a physician, kept his patient records on 3 x 5 inch cards.