Workflow disruptions. And most importantly, substantial intrusions on our individual relationships. These complaints may be dismissed as growing pains, born of resistance to change. But transitional chaos should be distinguished from enduring harm. Nevertheless, the researchers found exceptional EHR-induced distress. It really is eminently quantifiable yet stubbornly not. The purpose of widespread EHR adoption, as envisioned by the Obama administration in 2008, was to permit a transition from volume-centered to value-based payments: a digital infrastructure was needed for measuring quality. At the right time, however, less than 17 percent of physician procedures were using EHRs, and their systems lacked necessary data-capture capabilities often.She adds, Nurses, who care for these ill patients critically, rely on evidence-based suggestions to recommend their practice. .. Faiez Zannad, M.D., Ph.D., John J.V. McMurray, M.D., Henry Krum, M.B., Ph.D., Dirk J. Van Veldhuisen, M.D., Ph.D., Karl Swedberg, M.D., Ph.D., Harry Shi, M.S., John Vincent, M.B., Ph.D., Stuart J. Pocock, Ph.D., and Bertram Pitt, M.D. For the EMPHASIS-HF Study Group: Eplerenone in Sufferers with Systolic Heart Failure and Mild Symptoms The activation of mineralocorticoid receptors by cortisol and aldosterone has deleterious effects in patients with cardiovascular disease.1 In the placebo-controlled Randomized Aldactone Evaluation Research ,2 adding the mineralocorticoid-receptor antagonist spironolactone to recommended therapy in individuals with systolic heart failing and moderate-to-severe symptoms decreased the death rate from any trigger and the chance of hospitalization for cardiovascular reasons.