The Electronic Health Record and the Clinical Examination.
Med Clin North Am. 2018 May;102(3):475-483
Authors: Hedian HF, Greene JA, Niessen TM
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.
PMID: 29650069 [PubMed - in process]