Clinical Context
31 posts tagged "clinical context"
The Context Should Depend on the Question
Most EHR work is context reconstruction: rebuilding, by hand, what you need to know before you can answer a lab, a message or a colleague. The EHR's answer is the same bundle for every question. Context should be built from the question itself.
You Shouldn't Have to Trust the AI Scribe. You Should Be Able to Check It.
Every AI scribe makes the same seven quiet errors, ours included. Reliability isn't a vendor's accuracy percentage — it's whether you can find the mistakes before you sign. How to review a note in ninety seconds, and what to ask a vendor.
The Work Before the Work
The enormous, unmeasured labor that stands between a physician and the practice of medicine. On articulation work, extraneous load, moral injury, and why removing friction is different from resilience training.
Normalization Is What Makes Personalization Possible
Consistency versus autonomy is a false tradeoff — it's a layer error. Customize the projection, never the artifact. Why structured data is the precondition for a chart that adapts to every reader.
I Don't Read Charts. I Hunt Through Them.
Chart review is a re-orientation problem, not a reading problem. Why scatter — not overload — eats the clinical day, and what a normalized review surface would change.
Your Clinical Note Is the Best Task Manager You're Not Using
Closing the loop on labs, referrals, and follow-ups is a quiet patient-safety problem. Why the note itself makes a better task manager than your EHR's to-do list — and where documentation tools are headed.
The Bridge, Not the Destination
Why the patient-organized chart is hard to ship today — EHR integration limits, FHIR, and double validation — and the pragmatic bridge clinicians can build right now.
The Note Is Solved. The Chart Is Not.
AI scribes are making the note faster — but the hard problem is everything after the note is signed. The case for information persistence and the next generation of the EHR.
The Note Was Never the Point
A reflection on AI scribes, legacy EHRs, and why the next generation of clinical software needs to organize itself around the patient, not the note.
The Chart Doesn't Know Your Patient
The chart archives a patient's clinical story; it doesn't tell it. On longitudinal intelligence and what's missing from encounter-based medicine.
What Carries Forward: On Building Documentation That Knows the Difference
Not everything in a clinical note belongs to the patient. The key to better documentation is knowing what to carry forward — and what to leave in the visit.
Summarization is a tool, not a default
Why Stream won't summarize your patient's chart — and what it does instead. The case for structure over compression in clinical AI.