Romano and Stafford present an innovative analysis of the most current National Ambulatory Medical Care Survey and National Hospital Ambulatory Survey data.1 They found that (1) the use of EHRs was not associated with higher compliance with quality indicators and (2) the use of CDS systems within the EHR visits was likewise not associated with higher compliance with quality indicators. The invited commentary by McDonald and Abhyankar2 provides a context for these “dismal” results.
Oetgen WJ, Mullen JB, Mirro MJ. Electronic Health Records, the PINNACLE Registry, and Quality Care. Arch Intern Med. 2011;171(10):941-954. doi:10.1001/archinternmed.2011.189