TY  - JOUR
T1  - Electronic health record–based messages to primary care providers: Valuable information or just noise?
AU  - Murphy DR, Reis B, Kadiyala H, et al
Y1  - 2012/02/13
N1  - 10.1001/archinternmed.2011.740
JO  - Archives of Internal Medicine
SP  - 283
EP  - 285
VL  - 172
IS  - 3
N2  - 
Communication between clinicians is critical to coordination of care and prevention of adverse outcomes in the outpatient setting. Increasing the adoption of electronic health records (EHRs) and medical home-based care models will greatly increase electronic communication between different members of the health care team.1- 3 One method of clinician-to-clinician communication is note-based messaging through the EHR, where the recipient is requested to provide their “additional signature” to a message to attest that it was received. We recently found that primary care providers (PCPs) receive a large number of EHR-based additional signature request (ASR) alerts and spend considerable time processing them.4 Large numbers of messages5- 6 might also cause PCPs to miss certain higher-priority notifications.7- 8 Whether ASR alerts and other types of electronic messaging (called “routing” in some systems) are relevant to patient care or just a medium for distributing legal risk is unclear.9

SN  - 0003-9926
M3  - doi: 10.1001/archinternmed.2011.740
UR  - http://dx.doi.org/10.1001/archinternmed.2011.740
ER  -