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 proceedingConference 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 languageEnglish (US)
Title of host publicationProceedings of the Human Factors and Ergonomics Society 55th Annual Meeting, HFES 2011
Pages660-664
Number of pages5
DOIs
StatePublished - Nov 28 2011
Externally publishedYes
Event55th Human Factors and Ergonomics Society Annual Meeting, HFES 2011 - Las Vegas, NV, United States
Duration: Sep 19 2011Sep 23 2011

Publication series

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

Other

Other55th Human Factors and Ergonomics Society Annual Meeting, HFES 2011
CountryUnited States
CityLas Vegas, NV
Period9/19/119/23/11

ASJC Scopus subject areas

  • Human Factors and Ergonomics

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    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