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by st-at-picnic 616 days ago
One other interesting comment in there -- the note about how people think the worst records to deal with are the old handwritten notes. But actually, content-wise they tend to be very to-the-point. Clean printouts from EHR software have so much extra junk and redundancy that you end up with much lower SNR. Even just structuring a single EHR record can require you to look across many pages and do tons of filtering that doesn't come into play on the old handwritten notes (once you get past OCR).

Long way of saying: I feel for today's clinicians. EHRs were supposed to solve all problems, but they've also made things harder in a lot of ways.

1 comments

Have you seen/heard of Abridge[0]? Long story short their secret sauce comes in two main forms:

1. Accurate speech rec, diarization, etc to record a clinician-patient encounter. No notes, no scribes, no "physician staring at Epic when they should be looking at and talking to you".

2. Parsing of transcripts to correctly and accurately populate the patient EHR record - including various structured fields, etc.

Needless to say you're in this space so I don't have to tell you - every Epic/Cerner install is basically a snowflake so there's a lot going on here, especially at scale.

[0] - https://www.abridge.com/