I like the concept of 'paper bandwith'. That rings so true with my experience. I've lived through a number of transitions from paper to Cerner. At one hospital

I like the concept of 'paper bandwith'. That rings so true with my experience. I've lived through a number of transitions from paper to Cerner. At one hospital, they were going live across the entire 600 bed facility in a 2 week period. It was also the start of the new interns - I was there as a surgical registrar. We went from having our 4 person team (Senior Registrar, myself, 2 Juniors) pushing the cart with the files around, taking 4 minutes per patient, Juniors carefully watching and observing the examination, writing useful shorthand, to a situation where both Juniors were pushing dual-screen COWs frantically trying to keep up with reported findings and plans. Later in that transition period I was on nights and called to review a patient with SOB. They had been in for 10 days - typical chest that could be APO/could be Pneumonia. The last time the chest findings were documented in Powerchart was 10 days ago on ED admission!! Of course, poor documentation is part of the problem but every day that patient had had their chest examined, there just wasn't a useful way to document it in a shorthand way and the juniors were totally overwhelmed, requiring 2 of them to do the job of half of one of them previously