| Less time spent with patient, more time spent on computer | N/A | Reduces the amount of time I spent with patients due to need to spend time documenting in EHR. | It [takes] 90% of the time that would otherwise go to the patient. |
| Reduces quality of the interaction and patient–physician relationship | Impedes eye contact/looking directly at patients’ faces | I can’t stand typing instead of making eye contact with a patient. The computer limits my observations during visits. | I feel like I spend most of my visit looking at the computer screen instead of at my patient. |
| Depersonalizes and distracts | Can depersonalize as we try to enter data while also speaking to patients. | Creates a less personal experience for the patient. |
| No effect on patient interaction | Truly no effect | Does not affect my interaction with patients. | I have been able to maintain my interaction with patients. |
| No effect due to altered workflow by the physician | None, I interact with the patients and then I go to the computer. I don't use the computer with the patient present. | I do not use the EHR when I am with patients. I have tried this in other settings, and it degrades the quality of my interactions with patients. It's rude as well. |
| Improves information access | Helps physicians feel prepared for interaction. | Allows me in the ED to look at an old record before I see the patient to learn some history. | I get results from labs, x-rays and consults much quicker and in a more organized fashion. |
| Ability to share information with patients | Able to provide up to date data to patients. | I use a laptop in the exam room and show patients their data. |
| Increases communication between physicians | More up to date information communication esp[ecially] p[atien]ts seeing other MD specialists. | Only helpful with patients I do not know and am covering as compared with a paper model. |
| Negative but non-specific | N/A | Markedly adverse impact. | Impedes, of course! |