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Interestingly enough, the picture you showed is of VISTA used in the VA hospitals, which is generally considered to be the most usable EHR by clinicians. An ignominious honor, perhaps, but it's worth consideration. 60% of doctors know how to use it, since most doctors do some type of rounds through a VA hospital since it's the largest medical system in the United States.

You're right, most EHR UI is bad and it's built upon old technology. It entirely pre-dates the "design era". But, part of the reason for this is that healthcare was one of the first major industries to use IT heavily. What these systems lack in modern design principles, they often make up for in stability and ability to support system flows for larger organizations.

I admire your spirit and I hope that you do make an impact on healthcare. But, it might be wise to try and glean some lessons from the past vs. writing everything off as something that "fucking sucks". You might learn something along the way on your path to making health delivery better.




Thanks for the note about the picture. I knew it didn't look like any remotely recent screen in Epic. I worked for Epic for a couple years circa 2008, and even then it would have looked outdated. Also, at least in Epic, I know there's a huge focus on usability. That doesn't mean they always succeed, but it's not for lack of trying.




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