EHR Pastel Madness: Cognitive Overload in Critical Care

It's hard to find public postings that show the crazy and dangerous complexity of EHR interfaces, but I found a presentation at <a href="http://www.uiowa.edu/~medtest2/picis/vo_picis.pdf">http://www.uiowa.edu/~medtest2/picis/vo_picis.pdf</a> (PDF slide presentation) that demonstrates ths problem well.<br /><br />These are from a 2006 training presentation on an EHR for Critical Care , where doctors and nurses really don't have the time to wade through complexity like this.  <b> </b><br /><br /><b>I can honestly and in fact, with great vigor, opine I would not have wanted to use a tool like this when I was working in intensive care units. </b> And I'm a Medical Informatics specialist x 21 years...<b><br /></b><br /><br />EHRs have not changed much; in fact with the higher commodity (cheap) screen resolutions available in 2013 compared to 2006, the problem is worse.<br /><br />Some sample screens:<br /><br /><br /><table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgfO5PiBGHM6PxLTm0BkbVqrkXphnnhSJKEMbHJ5bXFDxSzOOsc7nQJgPeaQyB_ZEzV_9tb8I4VMAqYdLN60hctlB3YShdjrEiLakNehhFoxCp8qcHniZhdyg8LPMshtw29EZDXcCmGIG4-/s1600/screen1.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgfO5PiBGHM6PxLTm0BkbVqrkXphnnhSJKEMbHJ5bXFDxSzOOsc7nQJgPeaQyB_ZEzV_9tb8I4VMAqYdLN60hctlB3YShdjrEiLakNehhFoxCp8qcHniZhdyg8LPMshtw29EZDXcCmGIG4-/s320/screen1.jpg" width="320" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;">Click to enlarge</td></tr></tbody></table><br /><br /><table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgm0j77Npta-H0BPqMFVaJyiU_g2TeoPpe9ROw-xBjhDg3y8-XZxpbDn2urD1ZsMNU62slKN5U0ZzCKiG1HCd-XNgc5UJ6GLb_V7gu-H4Lj-2NuCxfP4xI2lm5kYqYPEiEGOfbiwKCVhXZW/s1600/screen2.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="238" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgm0j77Npta-H0BPqMFVaJyiU_g2TeoPpe9ROw-xBjhDg3y8-XZxpbDn2urD1ZsMNU62slKN5U0ZzCKiG1HCd-XNgc5UJ6GLb_V7gu-H4Lj-2NuCxfP4xI2lm5kYqYPEiEGOfbiwKCVhXZW/s320/screen2.jpg" width="320" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;">Click to enlarge</td></tr></tbody></table><br /><br /><table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg0B9MFJCQuhlSHk7ziTNTO5L-ybjbN9ZQiMq5N0UduIaL9pIDHYJw62scX0R5xoCZqXKkjqUKYFavHCRqcLhgww1nBYl414GOfqZeGz1yCfd-kfl3XOJxiAfNog-gt5ZMMcvRQwhjSMoX5/s1600/screen3.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg0B9MFJCQuhlSHk7ziTNTO5L-ybjbN9ZQiMq5N0UduIaL9pIDHYJw62scX0R5xoCZqXKkjqUKYFavHCRqcLhgww1nBYl414GOfqZeGz1yCfd-kfl3XOJxiAfNog-gt5ZMMcvRQwhjSMoX5/s320/screen3.jpg" width="320" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;">Click to enlarge</td></tr></tbody></table><br /><br /><table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEixdXLTisQC8eDJSjW2sicQz06WcV2nsSYMA4ecn2_6zDQb5k0q5qD60rEXlxVM1IN-mrUS73TjB1dN1q6BGL1stWms-99PJqTw0pMMauASbx2YEb6D-aho7yWPtuzx97lC-u8TQii0XGTc/s1600/screen4.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEixdXLTisQC8eDJSjW2sicQz06WcV2nsSYMA4ecn2_6zDQb5k0q5qD60rEXlxVM1IN-mrUS73TjB1dN1q6BGL1stWms-99PJqTw0pMMauASbx2YEb6D-aho7yWPtuzx97lC-u8TQii0XGTc/s320/screen4.jpg" width="320" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;">Click to enlarge</td></tr></tbody></table><br /><br /><table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgF0KBIoGM5O3qs9gWxR5sFvdW4ScqaaMSxKT4MhwvC2WV15pBswtWoC4C9dWHLsIq1N8v82loQM_4t6bg4B_dMR47MsYzuOKwS54JwxXCY9SeSLqLjMuZMzGKj_OSatVP2zGLL7aaAY1cW/s1600/screen5.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="198" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgF0KBIoGM5O3qs9gWxR5sFvdW4ScqaaMSxKT4MhwvC2WV15pBswtWoC4C9dWHLsIq1N8v82loQM_4t6bg4B_dMR47MsYzuOKwS54JwxXCY9SeSLqLjMuZMzGKj_OSatVP2zGLL7aaAY1cW/s320/screen5.jpg" width="320" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;">Click to enlarge</td></tr></tbody></table><br /><br /><br />And there's more where these came from at the link above.<br /><br />Insane, in my view, to subject busy, stressed out clinicians to a pastel nightmare like this. <br /><br />(And that's assuming the application doesn't lose or corrupt data.)<br /><br />This is not to single out this particular seller.  Other EHR sellers' products are similarly visually and operationally complex.<br /><br />But, if you, the reader, like these and think, the more that can be packed in the merrier, bring it on, that's fine with me.  It's your life and limb.<br /><br />Actually, not - because my life and limb are at risk, too.<br /><br />See the entire presentation for more.<br /><br />-- SS<br /><br /><br />

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EHR Pastel Madness: Cognitive Overload in Critical Care

It's hard to find public postings that show the crazy and dangerous complexity of EHR interfaces, but I found a presentation at http://www.uiowa.edu/~medtest2/picis/vo_picis.pdf (PDF slide presentatio…

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