Comment The data input side of EMR is just as bad. (Score 2) 240
- Has no keyboard navigation. Each box on a form must be selected by the mouse.
- Has no spell checking or medical or pharmaceutical dictionary.
- Has no way to add custom form templates or common phrases. Staff must retype the same thing over and over and over.
- Is very slow to respond; everything is done from underpowered PC's running a RDP client logged into overloaded servers in another state.
- The entiire system, spanning many offices sometimes becomes totally inaccessible.
- On failure, there is no Plan B. Staff resorts to scribbling notes on random scraps of paper and uses those to fill in forms when the system is working again.
In addition, The IT support staff told her that the vendors "super secure" remote access software would only run on a Windows PC. When she's on-call she has to update patient records. Their plan is BYOD, of course. So... she took her old, crappy Vista Netbook in. All they set up was the RDP client, defaulting to their server on the public internet. She clicks the link, Remote Client starts, 2 user/passwords and she gets a 800x600 Windows desktop. It's got a solitary icon which starts the native application. Yup... Super secure. Scrolling, mousing, cursoring and clicking to get to the form elements take more than half her time charting. It was painful to watch.
She prefers to use her Mac laptop, so I set up a Mac RDP client to use their URL and she was able to login. I watched her for a few minutes and noticed that all the controls and text were low contrast and used tiny, fuzzy fonts in the tiny 800x600 window.
I asked her; "Why do you have it configured to be so small with tiny fonts?" "That's the way it's always been. Everyone complains about it at work". Sigh.
I show her how she can expand the desktop by increasing the size of the client window and full-screen the app window to expose more of the forms. "Wow! we didn't know you could do that. That will really help! Critical stuff is always hiding off screen" Control Panel is available so I select a high contrast theme and larger, default fonts. "Wow, now I'll be able to read what's on the charts from my exam stool." Their clinic had lots of training and "experts" on site to help them learn and use the system in the first weeks, so there's no excuse for the poor default configuration they gave them.
I don't understand what has happened to the software industry. We seem to have forgotten the basics and now make the people serve the tools.