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Key stakeholders and physicians discussed electronic health record usability and optimization in the American Medical Association Running Your Practice Community.

Key Stakeholders Discuss How to Make EHRs More Usable

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Stakeholders, physicians discuss EHR usability and optimization, rules for releasing test results
Transition from a condition-specific to a hospital-wide readmission measure would result in a modest increase in the number of hospitals eligible for readmission penalties and would substantially increase penalties for safety-net hospitals

More Penalties With Hospital-Wide Readmission Measure

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Increase in number of hospitals eligible for penalties, in penalty disparity for safety-net, other hospitals
Modifiable conditions

Conditions Tied to Clinician Dissatisfaction Are Modifiable

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Improving workplace satisfaction directly tied to reduced clinician burnout
The increasing participation of men in registered nursing can be attributed to multiple factors

Men Now Comprise ~10 Percent of RN Workforce

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About half of increase due to educational attainment, rising demand, liberalizing gender attitudes
Sharing of passwords to access electronic medical records is common among medical staff members

Sharing Passwords Is Widespread Among Medical Staff

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Almost three-fourths of survey respondents report having used a colleague's password to access EMRs
Female physicians are more burned out than their male colleagues

Female Physicians May Be Especially at Risk of Burnout

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They tend to deal with psychosocial care more than male colleagues but can take steps to reduce stress
Internal medicine patients are frequently prescribed potentially inappropriate medications (PIMs)

Screening Tools Identify Potentially Inappropriate Meds

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However, substantial proportion of PIMS identified in internal medicine ward are not clinically relevant
Most female physicians have been sexually harassed by patients at some point in their careers

Most Female Physicians Have Faced Sexist Patient Comments

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Sexual harassment by patients can negatively affect physician-patient relationship, quality of care
Online consumer ratings of specialist physicians do not predict objective measures of quality of care or peer assessment of clinical performance

Online Ratings Not Aligned With Objective Quality Measures

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In addition, consumer ratings are consistent across platforms for specialist physicians
Both paper-based and electronic health records have shortcomings in terms of quality of content

Quality Issues for Both Paper-, Electronic-Based Health Records

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Study affirms poor quality of nursing documentation, as well as lack of knowledge and skills