EHR Design

The Dark Side of e-Prescribing

by Jerome Carter on June 25, 2018 · 0 comments

What happens when medications are cancelled, but no one ever tells the pharmacist? As I mentioned in my last post, this issue hit home recently.   A relative who has multiple physicians started to exhibit worsening symptoms of muscle weakness, hypotension, fatigue, reflux, and shortness of breath that progressed over a roughly 15-month period. Quite by […]


You are probably wondering why there have been so few blog posts in the last few months.   Well, it’s because I ran into a classic chicken-egg problem.   With the best of intentions and an optimistic outlook, I set out to write a handbook on clinical workflow analysis and workflow application development. The plan was for […]


Back in the mid-90s, doctors who bought EHR systems were trying to solve specific problems.   These early adopters would listen as I listed the many ways that EHR systems would change their lives, acknowledge the issues I raised, then buy an EHR anyway.   More often than not, however, they were happy with how […]


Software Innovation after Meaningful Use

by Jerome Carter on February 27, 2017 · 0 comments

Cell phones made telephone technology much more useful–no more searching for a phone booth or waiting at home for a call. Cell phones quickly evolved, eventually bringing us the much-loved Blackberry. Blackberry smartphones moved beyond calls to encompass a range of communication modes.  However, despite the gap in features and utility between the Blackberry generation […]


The Future Looks Great!

by Jerome Carter on November 21, 2016 · 0 comments

As many of you know, I have made my share of optimistic predictions regarding next-generation EHR systems.     Those predictions are based on assumptions about how technology will evolve in the next few years. When those assumptions bear fruit, it makes for even more optimism. So, as everyone is preparing for travel and the upcoming holiday […]


The rise of scribes is but one sign that many EHR systems, as currently designed, make clinicians less productive and patient interactions more awkward. The main ways touted by ONC and most observers to address usability issues focus on user-centered design and more comprehensive usability testing.   However, can these methods alone actually address clinician complaints?   […]


I have dedicated this summer to iOS development.    Having seen how iOS works from the inside, especially the attention given to human interaction guidelines, has increased my appreciation for all that goes into making systems truly usable.   Usability of EHR systems has taken on new importance, and the amount of research focused on […]