• Growing EMR Burden on Physicians: Administrative and regulatory documentation tasks, once handled by supplementary staff, are increasingly pushed onto physicians, adding to their workload and contributing to fatigue and potential errors.

• Impact on Physician Performance: The sheer volume of documentation requirements—such as coding, sepsis and stroke scoring, antibiotic timing, and COVID-19 risk assessments—heightens the risk of oversight, especially during long shifts.

• Phrasefire’s Solution: A customizable physician workflow platform designed for licensed physicians and supervised residents to create and quickly access reminders, assessment+plans, notes, improving documentation compliance and reducing cognitive load.

Here’s an example of the increase in EMR tasks we are expected to do on the inpatient side. According to my clinic colleagues there are a multitude on the clinic side as well. Much of this chart review used to fall on supplementary staff. It is cost effective for systems to push these tasks onto the physician, so here we are.

This is not necessarily at my current or prior place of employment. Not a full list:

Coding, antibiotic timing verification , sepsis timing and volume of fluid , checking of sepsis and severe sepsis diagnosis, documentation of fluid timing, antibiotics timing, stroke and pneumonia scoring systems, Covid-19 risk assessment.

This is a sampling of what we are required to document on every note by different agencies: both hospital and government regulatory bodies. With this amount of documentation, things will get overlooked or forgotten, especially as the fatigue of a 12 hour shift sets in.

In addition, physician error generally increases over time because of the nature of our job: a large amount of patients we see, high number of orders, combined with time and other pressures.

Our solution is a platform for licensed physicians and residents under supervision to make notes and reminders for the above tasks. They can even be embedded into the assessment+plan. We call it a customizable physician workflow platform. Similar to a small language model but all data is manually input by the physician. It allows for rapid access to the physician’s assessment+plans, notes, and reminders within the admission or clinic workflow.

Check us out at www.phrasefire.com