Viewpoints in JAMA



Medical Documentation in the Electronic Era


C. Jason Wang, M.D., Ph.D., of Stanford University, Stanford, Calif., examines the challenges presented by the implementation and use of electronic health records for patient-centered care.

“The current era of electronic communication has both benefits and perils. Electronic health records can serve as a platform with personal health records for coordinated patient-centered care by allowing clinicians to communicate quickly with one another and providing patients critical information about their own health. To fully realize these benefits, ‘search’ and ‘retrieval’ mechanisms must be supported by simple, unambiguous, standardized language. Electronic health records also must include mechanisms to promote synthesis of clinical data to avoid information overload. However, by relying on the GPS (global positioning system) mentality that ‘the computer will help me find it,’ clinicians will gradually be relegated to technicians.”

(JAMA. 2012;308[20]:2091-2092


Toward a Harmonized and Centralized Conflict of Interest Disclosure - Progress From an IOM Initiative


In this Viewpoint, Allen S. Lichter, M.D., of the American Society of Clinical Oncology, Alexandria, Va., and Ross McKinney, M.D., of Duke University School of Medicine, Durham, N.C., discuss the need and development of a “harmonized, centralized [conflict of interest] disclosure system to be created for the benefit of everyone who must produce or receive disclosure information.”

“Such a system can be designed and implemented as one element in a process to help ensure that research can progress in a trusted, transparent fashion, thereby increasing trust among the public and health care professionals in new medical products that are brought to the benefit of patients.”

(JAMA. 2012;308[20]:2093-2094.