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Comment & Response
January 2, 2019

Leveraging the Right Technology in Health Care—Having a Cow—Reply

Author Affiliations
  • 1Division of Trauma and Critical Care, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California
JAMA Surg. Published online January 2, 2019. doi:10.1001/jamasurg.2018.4700

In Reply We thank Pendharkar et al for their comments regarding our article.1 As noted, reducing the number of computers on wheels (COWs) was associated with fewer communication barriers.1 While we agree that using the right technology may improve health care, the electronic medical record (EMR) in its current platform is a disruptive technology that requires improvement. The EMR should better adapt to its users by optimizing human factors technology rather than forcing the user to adapt to the EMR. We agree that the data derived from the EMR are necessary and often provide more information than the traditional medical record, but the platform through which they are currently delivered is suboptimal.

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