Bob Wachter
speaker
382 appearances
1 recordings
1 series
first heard Apr 2024
last heard Apr 2024
Bob Wachter’s voice in public audio — every appearance, attributed to the second.
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Appearances
Mm-hmm.
And the electronic health record inbox is really an interesting problem.
Here's the problem that you, okay, we have an electronic health record just for the doctors and the nurses, but now we need one for the patients.
That makes sense.
We'll give one to the patients.
Patients now have a question for the health system.
The next available appointment to see the doctor is three months from now.
And there's this little button on the top that says, send a message to your healthcare team.
It's like, duh.
You know, the fact that we were surprised by it.
Then all of a sudden you're getting thousands of messages with the assumption that you're on 24-7, 365 and we have no business model to deal with this.
The only surprising thing about that was it it was a surprising.
And, you know, is it the fault of the electronic house record in a way that couldn't have happened if there wasn't an EHR?
But I think we've got to get better at thinking about these downstream effects.
One of the things I wrote about in the book that turned out to be one of the most commented on chapters was the demise of radiology rounds.
Because back in the day, we used to go down every day to look at our films and we would talk to the radiologists about the case.
And it was wonderful, and everybody loved it, and we learned from each other.
And the minute digital radiology became a thing, those rounds went away.
Nobody said that they wanted them to go away, they just did because you no longer had to go to a single place to look at the film.
So we've got to get better at trying to anticipate the unanticipated.
Showing 321–340 of 382 · page 17 of 20
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