Touch, Talk or Type: What’s the Best Method for Charting?
What’s the Best Method for Charting?
Every physician has their own preferences for workflow and charting an encounter. Whether you prefer touch, talk (dictation) or typing, you need a system that is flexible enough to support the best data input method at just the right time on your choice of device type – tablet, desktop or laptop!
In the exam room, many physicians want to adopt a mobile tablet as their primary charting tool – according to a recent survey, 74 percent of clinicians surveyed expect to be using mobile devices as well as desktop computers by Q2 2015.
Is There Any Reason for Physicians NOT to Go Mobile?
Recent study shows most patients are least bothered by EHR use in the exam room when the physician uses a tablet.
Ideal Charting Method: The Triple Option
Some clinical documentation can be more easily charted via templates or drop-downs, but other information – often containing patient context vital to reaching a correct diagnosis – can be lost with traditional EHR templating options. That’s why the best way to facilitate point of care data entry is what we call: The 3T strategy
Touch: may be fastest method, but requires buttons that link to preloaded content.
Talk: (dictation) important for data not easily templated and works well in the exam room.
Type: fast fingers are required if the user types in the exam room
Different Sections of the Patient Chart Lend Themselves to Different Charting Methods:
Physical Exam-Probably best charted using touch with buttons and preloaded content because most physical findings can be programmed into the EHR in advance.
Patient Instructions-Can be a good use of dictation (talk), since the provider can “kill two birds with one stone” – as the provider documents the patient also listens to the instructions.
Lab Orders and ePrescribing-99% done with touch, then dictating or typing special notes or directions in rare cases.
What’s In It for You? Get Your Life Back
We believe in No Homework – complete your charting in the office!