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Table 1 Recommendations on how to use the electronic health record (EHR). Adapted from [33, 34]

From: Learning to use electronic health records: can we stay patient-centered? A pre-post intervention study with family medicine residents

• To open the EHR before the patient enters the consultation room

 

 •To set the agenda of the consultation before using the EHR/the keyboard

 • To explore the patient’s agenda

• To negotiate the agenda by taking into account the patient’s agenda

 

• To allow the patient to have a visual access to the screen/EHR during the clinical encounter (when possible)

 

• To face the patient most of the time

 

• To signpost the use of EHR (to summarize what the patient said, to announce what is done with the EHR: documentation, EHR reading, etc.…)

 

• To use verbal and non verbal attitudes to show the patient that the physician’s attention is directed to the EHR or the patient (visual and/or verbal link)

 

• To involve the patient in reading the information or results displayed on the screen (to give information to help understanding)

 

• To stop using the EHR when patient expresses emotions or psychosocial issues (to stop typing, to look at the patient, listen, express verbal empathy)

 

• To use appropriate time sets to type (when the patient put on/off his cloths before or after the physical examination)