The EHR is definitely touted as a cost-saving, quality-promoting tool, though cost-saving projections have been debunked and data on quality are combined.2 Although we’ve made improvement in patient safety only by carefully examining our mistakes, the risks posed by technology are expected to right themselves somehow. Second, letting the marketplace form usability assumes that clinicians are the focus on users. Therefore EHRs will be only as good as the quality metrics they’re made to catch; technology can’t overcome fundamental measurement challenges. We measure many things that have no worth to patients, while much of what individuals do worth, including our attention, remains unmeasurable.One set of measurement tools focuses on assessing adult discomfort and is included in a special issue of Arthritis Care & Study, a journal of the American College of Rheumatology , providing researchers and doctors with an individual resource of 250 individual outcomes measurements in rheumatology. The World Health Company indicates that more than 150 rheumatic or musculoskeletal diseases can contribute to discomfort and disability in adults.