EHR Architecture

Since starting EHR Science, there have been many times when I lamented the lack of research of sufficient quality and breadth to guide clinical software development.   When building software for a specific domain, such as clinical care, research is needed that discusses a range of outcomes: end-user effects, performance, reliability, maintainability and other software quality […]

{ 0 comments }

Patient safety is one of the main driving forces behind calls for better EHR systems and, as a result, EHR design quirks and flaws are receiving more attention.   Thomas Payne has provided a very insightful analysis of EHR safety issues in a recent BMJ Quality & Safety commentary (1). As part of the commentary he […]

{ 0 comments }

AMIA’s EHR 2020 Task Force Report has joined the chorus of those calling for better EHR systems that can act as smart clinical care assistants. As with similar reports, there is a call for improved usability and workflow support. Now that AMIA’s voice has been added to the list of organizations acknowledging the need for […]

{ 0 comments }

Usability is big these days. The growing number of publications, scholarly and otherwise, is both impressive and very much welcomed. Having read quite a few articles on the topic, I always wrestle with one issue—how to summarize all the information in a way that makes it directly useful for software design. There is a huge […]

{ 2 comments }

By encouraging adoption of HIT, the EHR incentive programs have forced everyone to deal with the realities of current EHR system designs.   In fact, this might be one of the most significant outcomes of the entire program.   Now that there is a general acceptance that HIT needs to evolve in order to better support clinical […]

{ 1 comment }

When it comes to creating electronic systems that support clinical care, the dominant paradigm has been the electronic health record. The reason for this is obvious; for decades the paper record has had a central role in care delivery.   However, as care delivery comes to embrace care coordination, patient engagement and shared decision-making, it is […]

{ 1 comment }

Recently, I participated in a series of emails about creating teaching materials for a course on clinical software design.   This may come as a surprise, but there are no books on the topic of clinical software design.   Of course, there are plenty of books about clinical software systems, especially EHR systems, but none that describe […]

{ 14 comments }