A new ED nurse with ADHD is overwhelmed by the demands of patient care and falls behind on accurate, timely charting in Epic, especially during high-acuity situations, leading to missed documentation and medication scanning errors.
Existing EHR systems like Epic require manual, retrospective data entry that conflicts with the real-time demands of emergency care, especially for neurodivergent users who struggle with task-switching and executive function under high cognitive load.
Workarounds Described
- Charting by exception and trying to at least get an assessment on everyone
- Retrospectively remembering and charting events that happened during a crisis
- Prioritizing patient care over documentation and catching up later
- Manually scanning controlled substances during patient deterioration
Implied Software Gaps
- Real-time documentation tool that captures interventions and assessments via voice during care
- Automated alerts for missing documentation, such as unscanned medications or unrecorded provider notifications
- A cognitive support system that helps nurses with ADHD manage task switching and prioritization during shifts
ChartFlow Assist
A voice-powered clinical documentation assistant that passively listens during patient encounters and automatically drafts structured notes, tracks interventions, and prompts missing documentation in real time. Designed for high-acuity environments, it reduces the cognitive burden on nurses by converting spoken assessments and actions into Epic-ready chart entries, ensuring nothing is missed even during critical events.
- Real-time voice-to-chart conversion with ambient listening mode
- Smart prompting for missing documentation (e.g., unscanned meds, unrecorded assessments)
- ADHD-friendly interface with task prioritization and time-block visualization
- One-tap sync with Epic to reduce manual data entry
Existing Solutions Mentioned
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