Features  |   April 2017
Paper Charting Anesthetics: Forgotten But Not Gone… Especially During an EHR Downtime
Author Affiliations
  • Karl A. Poterack, M.D.
    Committee on Electronic Media and Information Technology
  • Ori Gottlieb, M.D.
    Committee on Electronic Media and Information Technology
  • Brian S. Rothman, M.D.
    Committee on Electronic Media and Information Technology
    Chair
Article Information
Technology / Equipment / Monitoring / Features
Features   |   April 2017
Paper Charting Anesthetics: Forgotten But Not Gone… Especially During an EHR Downtime
ASA Monitor 04 2017, Vol.81, 30-32.
ASA Monitor 04 2017, Vol.81, 30-32.
The modern electronic health record (EHR) has become pervasive and is more than a digital paper chart replacement; it is an interactive tool providing essential functionality on which many practitioners depend. Any disruption in normal EHR function, partial or complete, will challenge the normal operations of any health care environment. A downtime – the effective loss of EHR functionality –is inevitable and can be due to a software- or hardware-based failure of the EHR, a computer network problem or a larger-scale event, including natural or man-made disasters.
Clinicians with experience documenting on both paper and digitally realize the significant differences between them, and the additional EHR functionality benefits are sorely missed when unavailable.1 -3  Regardless, providers remain responsible to continue patient care and maintain paper documentation that accurately represents an anesthetic and satisfies regulatory and billing requirements. But when you consider how long it has been since you, your fellow attendings, fellows, residents and CRNAs charted an anesthetic or wrote an order on paper, can most of us honestly claim we are properly prepared and able to do so?
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