Paper persistence and computer-based workarounds with the electronic health record in primary care

Jason J. Saleem; Mindy Flanagan; Laura G. Militello; Nicole Arbuckle; Alissa L. Russ; A. Lucile Burgo-Black; Bradley N. Doebbeling

doi:10.1177/1071181311551136

Paper persistence and computer-based workarounds with the electronic health record in primary care

Jason J. Saleem, Mindy Flanagan, Laura G. Militello, Nicole Arbuckle, Alissa L. Russ, A. Lucile Burgo-Black, Bradley N. Doebbeling

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution

7 Scopus citations

Abstract

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.

Original language	English (US)
Title of host publication	Proceedings of the Human Factors and Ergonomics Society 55th Annual Meeting, HFES 2011
Pages	660-664
Number of pages	5
DOIs	https://doi.org/10.1177/1071181311551136
State	Published - 2011
Externally published	Yes
Event	55th Human Factors and Ergonomics Society Annual Meeting, HFES 2011 - Las Vegas, NV, United States Duration: Sep 19 2011 → Sep 23 2011

Publication series

Name	Proceedings of the Human Factors and Ergonomics Society
ISSN (Print)	1071-1813

Other

Other	55th Human Factors and Ergonomics Society Annual Meeting, HFES 2011
Country/Territory	United States
City	Las Vegas, NV
Period	9/19/11 → 9/23/11

ASJC Scopus subject areas

Human Factors and Ergonomics

Access to Document

10.1177/1071181311551136

Cite this

Saleem, J. J., Flanagan, M., Militello, L. G., Arbuckle, N., Russ, A. L., Burgo-Black, A. L., & Doebbeling, B. N. (2011). Paper persistence and computer-based workarounds with the electronic health record in primary care. In Proceedings of the Human Factors and Ergonomics Society 55th Annual Meeting, HFES 2011 (pp. 660-664). (Proceedings of the Human Factors and Ergonomics Society). https://doi.org/10.1177/1071181311551136

Paper persistence and computer-based workarounds with the electronic health record in primary care. / Saleem, Jason J.; Flanagan, Mindy; Militello, Laura G. et al.
Proceedings of the Human Factors and Ergonomics Society 55th Annual Meeting, HFES 2011. 2011. p. 660-664 (Proceedings of the Human Factors and Ergonomics Society).

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution

Saleem, JJ, Flanagan, M, Militello, LG, Arbuckle, N, Russ, AL, Burgo-Black, AL & Doebbeling, BN 2011, Paper persistence and computer-based workarounds with the electronic health record in primary care. in Proceedings of the Human Factors and Ergonomics Society 55th Annual Meeting, HFES 2011. Proceedings of the Human Factors and Ergonomics Society, pp. 660-664, 55th Human Factors and Ergonomics Society Annual Meeting, HFES 2011, Las Vegas, NV, United States, 9/19/11. https://doi.org/10.1177/1071181311551136

Saleem JJ, Flanagan M, Militello LG, Arbuckle N, Russ AL, Burgo-Black AL et al. Paper persistence and computer-based workarounds with the electronic health record in primary care. In Proceedings of the Human Factors and Ergonomics Society 55th Annual Meeting, HFES 2011. 2011. p. 660-664. (Proceedings of the Human Factors and Ergonomics Society). doi: 10.1177/1071181311551136

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abstract = "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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Paper persistence and computer-based workarounds with the electronic health record in primary care

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