Paper use with the electronic medical record

An important supplement or negative circumvention?

Jason J. Saleem, Alissa L. Russ, Connie F. Justice, Heather Hagg, Peter A. Woodbridge, Bradley Doebbeling

Research output: Chapter in Book/Report/Conference proceedingConference contribution

3 Citations (Scopus)

Abstract

Healthcare organizations are increasingly implementing electronic medical records (EMRs) and other related health information technology (IT). Even in institutions which have long adopted these computerized systems, there are still instances where employees rely on paper to complete their work. The use of paper suggests that parts of the EMR may not be sufficiently designed to support clinicians and their work processes. To understand the use of paper-based alternatives, we conducted 14 key-informant interviews in a large Veterans Affairs Medical Center (VAMC), with a fully implemented EMR. We found nine distinct categories of paper-based workarounds to the use of the EMR. In several cases, paper served as an important tool and assisted healthcare employees in their work. In other cases, paper use circumvented the intended EMR design, introduced potential gaps in documentation, and generated possible paths to medical error. We discuss implications of these findings for EMR design and implementation.

Original languageEnglish (US)
Title of host publicationProceedings of the Human Factors and Ergonomics Society
Pages773-777
Number of pages5
Volume2
StatePublished - 2008
Externally publishedYes
Event52nd Human Factors and Ergonomics Society Annual Meeting, HFES 2008 - New York, NY, United States
Duration: Sep 22 2008Sep 26 2008

Other

Other52nd Human Factors and Ergonomics Society Annual Meeting, HFES 2008
CountryUnited States
CityNew York, NY
Period9/22/089/26/08

Fingerprint

Electronic medical equipment
supplement
electronics
employee
Personnel
health information
Information technology
documentation
information technology
Health
interview

ASJC Scopus subject areas

  • Human Factors and Ergonomics

Cite this

Saleem, J. J., Russ, A. L., Justice, C. F., Hagg, H., Woodbridge, P. A., & Doebbeling, B. (2008). Paper use with the electronic medical record: An important supplement or negative circumvention? In Proceedings of the Human Factors and Ergonomics Society (Vol. 2, pp. 773-777)

Paper use with the electronic medical record : An important supplement or negative circumvention? / Saleem, Jason J.; Russ, Alissa L.; Justice, Connie F.; Hagg, Heather; Woodbridge, Peter A.; Doebbeling, Bradley.

Proceedings of the Human Factors and Ergonomics Society. Vol. 2 2008. p. 773-777.

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Saleem, JJ, Russ, AL, Justice, CF, Hagg, H, Woodbridge, PA & Doebbeling, B 2008, Paper use with the electronic medical record: An important supplement or negative circumvention? in Proceedings of the Human Factors and Ergonomics Society. vol. 2, pp. 773-777, 52nd Human Factors and Ergonomics Society Annual Meeting, HFES 2008, New York, NY, United States, 9/22/08.
Saleem JJ, Russ AL, Justice CF, Hagg H, Woodbridge PA, Doebbeling B. Paper use with the electronic medical record: An important supplement or negative circumvention? In Proceedings of the Human Factors and Ergonomics Society. Vol. 2. 2008. p. 773-777
Saleem, Jason J. ; Russ, Alissa L. ; Justice, Connie F. ; Hagg, Heather ; Woodbridge, Peter A. ; Doebbeling, Bradley. / Paper use with the electronic medical record : An important supplement or negative circumvention?. Proceedings of the Human Factors and Ergonomics Society. Vol. 2 2008. pp. 773-777
@inproceedings{9555cdebc32041a4889429499e414bde,
title = "Paper use with the electronic medical record: An important supplement or negative circumvention?",
abstract = "Healthcare organizations are increasingly implementing electronic medical records (EMRs) and other related health information technology (IT). Even in institutions which have long adopted these computerized systems, there are still instances where employees rely on paper to complete their work. The use of paper suggests that parts of the EMR may not be sufficiently designed to support clinicians and their work processes. To understand the use of paper-based alternatives, we conducted 14 key-informant interviews in a large Veterans Affairs Medical Center (VAMC), with a fully implemented EMR. We found nine distinct categories of paper-based workarounds to the use of the EMR. In several cases, paper served as an important tool and assisted healthcare employees in their work. In other cases, paper use circumvented the intended EMR design, introduced potential gaps in documentation, and generated possible paths to medical error. We discuss implications of these findings for EMR design and implementation.",
author = "Saleem, {Jason J.} and Russ, {Alissa L.} and Justice, {Connie F.} and Heather Hagg and Woodbridge, {Peter A.} and Bradley Doebbeling",
year = "2008",
language = "English (US)",
isbn = "9781605606859",
volume = "2",
pages = "773--777",
booktitle = "Proceedings of the Human Factors and Ergonomics Society",

}

TY - GEN

T1 - Paper use with the electronic medical record

T2 - An important supplement or negative circumvention?

AU - Saleem, Jason J.

AU - Russ, Alissa L.

AU - Justice, Connie F.

AU - Hagg, Heather

AU - Woodbridge, Peter A.

AU - Doebbeling, Bradley

PY - 2008

Y1 - 2008

N2 - Healthcare organizations are increasingly implementing electronic medical records (EMRs) and other related health information technology (IT). Even in institutions which have long adopted these computerized systems, there are still instances where employees rely on paper to complete their work. The use of paper suggests that parts of the EMR may not be sufficiently designed to support clinicians and their work processes. To understand the use of paper-based alternatives, we conducted 14 key-informant interviews in a large Veterans Affairs Medical Center (VAMC), with a fully implemented EMR. We found nine distinct categories of paper-based workarounds to the use of the EMR. In several cases, paper served as an important tool and assisted healthcare employees in their work. In other cases, paper use circumvented the intended EMR design, introduced potential gaps in documentation, and generated possible paths to medical error. We discuss implications of these findings for EMR design and implementation.

AB - Healthcare organizations are increasingly implementing electronic medical records (EMRs) and other related health information technology (IT). Even in institutions which have long adopted these computerized systems, there are still instances where employees rely on paper to complete their work. The use of paper suggests that parts of the EMR may not be sufficiently designed to support clinicians and their work processes. To understand the use of paper-based alternatives, we conducted 14 key-informant interviews in a large Veterans Affairs Medical Center (VAMC), with a fully implemented EMR. We found nine distinct categories of paper-based workarounds to the use of the EMR. In several cases, paper served as an important tool and assisted healthcare employees in their work. In other cases, paper use circumvented the intended EMR design, introduced potential gaps in documentation, and generated possible paths to medical error. We discuss implications of these findings for EMR design and implementation.

UR - http://www.scopus.com/inward/record.url?scp=78049389408&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78049389408&partnerID=8YFLogxK

M3 - Conference contribution

SN - 9781605606859

VL - 2

SP - 773

EP - 777

BT - Proceedings of the Human Factors and Ergonomics Society

ER -