The effects of EMR deployment on doctors' work practices: A qualitative study in the emergency department of a teaching hospital

International Journal of Medical Informatics

Volumn 81, Issue 3, 2012, Pages 204-217

  Park, Sun Young ^a   Lee, So Young ^a   Chen, Yunan ^b  

^a Ringgold Standard Institution Informatics   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Case study; Computerized medical records; Electronic medical records; Social impact; Workflow

Indexed keywords

CODING METHODS; COMPLEX NATURE; COMPUTERIZED MEDICAL RECORDS; DOCUMENTATION TOOLS; ELECTRONIC MEDICAL RECORD; ELECTRONIC MEDICAL RECORDS; EMERGENCY DEPARTMENTS; EMR SYSTEMS; FIELD OBSERVATIONS; IN-SITU; INDIRECT EFFECTS; MEDICAL WORK; QUALITATIVE STUDY; ROLES AND RESPONSIBILITIES; SEMI STRUCTURED INTERVIEWS; SOCIAL IMPACT; SYSTEM USE; TIME-PERIODS; TRANSFER INFORMATION; VISUAL REPRESENTATIONS; WORK ENVIRONMENTS; WORK PRACTICES; WORKFLOW; WORKFLOW DIAGRAMS;

HUMAN ENGINEERING; MEDICAL COMPUTING;

EMERGENCY ROOMS;

ARTICLE; CLINICAL PRACTICE; DATA ANALYSIS; ELECTRONIC MEDICAL RECORD; EMERGENCY PHYSICIAN; EMERGENCY WARD; HUMAN; MEDICAL DOCUMENTATION; NURSE PATIENT RELATIONSHIP; PATIENT CODING; PRACTICE GUIDELINE; PRIORITY JOURNAL; QUALITATIVE RESEARCH; SEMI STRUCTURED INTERVIEW; TEACHING HOSPITAL; WORKFLOW;

ELECTRONIC HEALTH RECORDS; EMERGENCY SERVICE, HOSPITAL; HOSPITALS, TEACHING; HUMANS; PHYSICIAN'S PRACTICE PATTERNS; QUALITATIVE RESEARCH; WORKFLOW;

EID: 84856972340     PISSN: 13865056     EISSN: 18728243     Source Type: Journal    
DOI: 10.1016/j.ijmedinf.2011.12.001     Document Type: Article

References (40)

1. Steinbrook R. Health care and the American recovery and reinvestment Act. New England Journal of Medicine 2009, 360:1057-1060.
2. Menke J., Broner C., Campbell D., McKissick M., Edwards-Beckett J. Computerized clinical documentation system in the pediatric intensive care unit. BMC Medical Informatics and Decision Making 2001, 1-3.
3. Ash J.S., Sittig D.F., Poon E.G., Guappone K., Campbell E., Dykstra R.H. The extent and importance of unintended consequences related to computerized provider order entry. Journal of American Medical Informatics Association 2007, 14:415-423.
4. Hersh W.R. The electronic medical record: promises and problems. Journal of the American Society for Information Science 1999, 46(10):772-776.
5. Bates D.W., Ebell M., Gotlieb E., Zapp J., Mullins H.C. A proposal for electronic medical records in U.S. primary care. Journal of the American Medical Informatics Association 2003, 10(1):1-10.
6. Wilcox L., Lu J., Lai J., Feiner S., Jordan D. Physician-driven management of patient progress notes in an intensive care unit. CHI Annual Symposium Proceedings 2010, 1879-1888.
7. Dykstra R.H., Ash J.S., Campbell E., Sittig D.F., Guappone K., Carpenter J., Richardson J., Wright A., McMullen C. Persistent paper: the myth of going paperless. AMIA Annual Symposium Proceedings 2009, 158-162.
8. Ash J.S., Sittig D.F., Campbell E., Guappone K., Dykstra R. An unintended consequence of CPOE implementation: shifts in power, control, and autonomy. AMIA Annual Symposium Proceedings 2006, 11-15.
9. Fitzpatrick G. Integrated care and the working record. Health Informatics Journal 2004, 10:291-302.
10. Embi P.J., Yackel T.R., Logan J.R., Bowen J.L., Cooney T.G., Gorman P.N. Impacts of computerized physician documentation in a teaching hospital: perceptions of faculty and resident physicians. Journal of American Medical Informatics Association 2004, 11:300-309.
11. Poissant L., Pereira J., Tamblyn R., Kawasumi Y. The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. Journal of the American Medical Informatics Association 2005, 12:505-516.
12. Han Y.Y., Carcillo J.A., Venkataraman S.T., Clark R.S.B., Watson S., Nguyen T.C., Bayir H., Orr R.A. Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics 2005, 116:1506-1512.
13. Rosenbloom S.T., Grande J., Geissbuhler A., Miller R.A. Experience in implementing inpatient clinical note capture via a provider order entry system. Journal of the American Medical Informatics Association 2004, 11:310-315.
14. Ash J.S., Berg M., Coiera E. Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. Journal of American Medical Informatics Association 2004, 11:104-112.
15. Strauss A.L., Fagerhaugh S. Social Organization of Medical Work 1997, Transaction Pub.
16. Markus M.L. Power, politics, and MIS implementation. Communications of the ACM 1983, 26:430-444.
17. Pratt W., Reddy C.R.M.C., McDonald D.W., Hornoch P.T., Gennari J.H. Incorporating ideas from computer-supported cooperative work. Journal of Biomedical Informatics 2004, 37:128-137.
18. Tang C., Carpendale S. An observational study on information flow during nurses' shift change. Proceedings of the SIGCHI Conference on Human factors in Computing Systems 2007, 219-228.
19. Barley S.R. Technology as an occasion for structuring: evidence from observations of CT scanners and the social order of radiology departments. Administrative Science Quarterly 1986, 31(1):78-108.
20. Berg M. Implementing information systems in health care organizations: myths and challenges. International Journal of Medical Informatics 2001, 64(2-3):143-156.
21. Piasecki J.K., Calhoun E., Engelberg J., Rice W., Dilts D., Belser D., Aronsky D., Jones I., Mason D., Stead B. Computerized provider order entry in the emergency department: pilot evaluation of a return on investment analysis instrument. Proceeding of AMIA Annual Symposium 2005, 1081.
22. Richardson J., Ash J. The effects of hands free communication devices on clinical communication: balancing communication access needs with user control. Proceeding of AMIA Annual Symposium 2008, 621-625.
23. Hardey M., Payne S., Coleman P. 'Scraps': hidden nursing information and its influence on the delivery of care. Journal of Advanced Nursing 2000, 32:208-214.
24. Kaplan B. Addressing organizational issues into the evaluation of medical systems. Journal of American Medical Informatics Association 1997, 4:94-101.
25. Zhou X., Ackerman M.S., Zheng K. I just do not know why it is gone: maintaining informal information use inpatient care. Proceedings of CHI 2009 2009, 2061-2070.
26. Payne T.H., Graham G. Managing the life cycle of electronic clinical documents. Journal of American Medical Informatics Association 2006, 13:438-445.
27. Payne T.H., tenBroek A.E., Fletcher G.S., Labuguen M.C. Transition from paper to electronic inpatient physician notes. Journal of American Medical Informatics Association 2010, 17:108-111.
28. Laerum H., Karlsen T.H., Faxvaag A. Effects of scanning and eliminating paper-based medical records on hospital physicians' clinical work practice. Journal of the American Medical Informatics Association 2003, 106:588-595.
29. Phansalkar S., Edworthy J., Hellier E., Seger D.L., Schedlbauer A., Avery A.J., Bates D.W. A review of human factors principles for the design and implementation of medication safety alerts in clinical information systems. Journal of American Medical Informatics Association 2010, 17:493-501.
30. Ash J.S., Bates D.W. Factors and forces affecting EHR system adoption: report of a 2004 ACMI discussion. Journal of American Medical Informatics Association 2005, 12:8-12.
31. Aarts J., Callen J.L., Coiera E.W., Westbrook J.I. Information technology in health care: socio-technical approaches. International Journal of Medical Informatics 2010, 79(6):389-390.
32. Heath C., Luff P. Documents and professional practice: 'bad' organizational reasons for 'good' clinical records. Proceedings of CSCW 1996 1996, 354-363.
33. Berg M., Aarts J., van der Lei J. ICT in health care: sociotechnical approaches. Methods of Information in Medicine 2003, 42(4):297-301.
34. Beyer H., Holtzblatt K. Contextual Design: Defining Customer-Centered Systems 1997, Morgan Kaufmann.
35. Thielke S., Hammond K., Helbig S. Copying and pasting of examinations within the electronic medical record. International Journal of Medical Informatics 2007, 76S:S122-S128.
36. Payne T.H., Perkins M., Kalus R., Reilly D. The transition to electronic documentation on a teaching hospital. Proceeding of AMIA Annual Symposium 2006, 629-633.
37. Roter D.L., Stewart M., Putnam S.M., Lipkin M., Stiles W., Inui T.S. Communication patterns of primary care physicians. Journal of the American Medical Informatics Association 1997, 277(4):350-356.
38. Roter D.L., Hall J.A., Kern D.E., Barker R.B., Cole K.A., Roca R.P. Improving physicians' interviewing skills and reducing patients' emotional distress. Archives of Internal Medicine 1995, 155(17):1877-1884.
39. Hall J.A., Roter D.L., Katz N.R. Meta-analysis of correlates of provider behavior in medical encounters. Medical Care 1998, 26(7):657-675.
40. Vikkelsø S. Subtle redistribution of work, attention and risks: electronic patient records and organizational consequences. Scandinavian Journal of Information Systems 2005, 17(1):3-30.