Wenn Copy&Paste in elektronischen Patientenakten Amok laufen, führt das nicht unbedingt zu einer Verbesserung der diagnostischen Treffsicherheit, oder gar der Arzt-Patienten-Beziehung. Verwaltungsfetischisten sind eindeutig im Vorteil:
EHR notes and the cut and paste documentation problem | KevinMD.com
The terse portions describing what the patient actually said, what the consulting doctor actually examined and what the diagnosis and plan were were inconspiculously buried toward the end of the EHR document.
This was a classic case of electronic record “CoPaGA” i.e., Copy ‘n Paste Gone Amok Syndrome. Characterized by repeated highlighting, copying and pasting text from past EHR notes into current notes, the physician-victim attains several goals simultaneously: 1) avoiding the time-consuming work of having to talk to a human being, 2) building a long trail of documentation that portrays faux work effort and 3) justifying a maximally remunerative fee.
