TY - GEN
T1 - Paper persistence and computer-based workarounds with the electronic health record in primary care
AU - Saleem, Jason J.
AU - Flanagan, Mindy
AU - Militello, Laura G.
AU - Arbuckle, Nicole
AU - Russ, Alissa L.
AU - Burgo-Black, A. Lucile
AU - Doebbeling, Bradley N.
PY - 2011
Y1 - 2011
N2 - With the United States national goal and incentive program to transition from paper to electronic health records (EHRs), healthcare organizations are increasingly implementing EHRs and other related health information technology (IT). However, in institutions which have long adopted these computerized systems, such as the Veterans Health Administration, healthcare workers continue to rely on paper to complete their work. Furthermore, insufficient EHR design also results in computer-based workarounds. Using direct observation with opportunistic interviewing, we investigated the use of paper-and computer-based workarounds to the EHR with a multi-site study of 54 healthcare workers, including primary care providers, nurses, and other healthcare staff. Our analysis revealed several paper-and computer-based workarounds to the VA's EHR. These workarounds, including clinician-designed information tools, provide evidence for how to enhance the design of the EHR to better support the needs of clinicians.
AB - With the United States national goal and incentive program to transition from paper to electronic health records (EHRs), healthcare organizations are increasingly implementing EHRs and other related health information technology (IT). However, in institutions which have long adopted these computerized systems, such as the Veterans Health Administration, healthcare workers continue to rely on paper to complete their work. Furthermore, insufficient EHR design also results in computer-based workarounds. Using direct observation with opportunistic interviewing, we investigated the use of paper-and computer-based workarounds to the EHR with a multi-site study of 54 healthcare workers, including primary care providers, nurses, and other healthcare staff. Our analysis revealed several paper-and computer-based workarounds to the VA's EHR. These workarounds, including clinician-designed information tools, provide evidence for how to enhance the design of the EHR to better support the needs of clinicians.
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U2 - 10.1177/1071181311551136
DO - 10.1177/1071181311551136
M3 - Conference contribution
AN - SCOPUS:81855184504
SN - 9780945289395
T3 - Proceedings of the Human Factors and Ergonomics Society
SP - 660
EP - 664
BT - Proceedings of the Human Factors and Ergonomics Society 55th Annual Meeting, HFES 2011
T2 - 55th Human Factors and Ergonomics Society Annual Meeting, HFES 2011
Y2 - 19 September 2011 through 23 September 2011
ER -