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Related Experiment Videos

Can a large institution go paperless?

D Z Sands1, D M Rind, C Vieira

  • 1Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.

Studies in Health Technology and Informatics
|June 29, 1999
PubMed
Summary
This summary is machine-generated.

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Implementing an online patient record system initially increased paper usage, despite aiming for elimination. This "paper paradox" highlights challenges in digital health transitions and paper reduction strategies.

Area of Science:

  • Health Informatics
  • Medical Record Systems
  • Digital Health Transformation

Background:

  • Beth Israel Hospital implemented an extensive online patient record (OMR) system since 1989.
  • The OMR system augmented an integrated hospital information system, expanding to 36 practices across three campuses.

Purpose of the Study:

  • To analyze the impact of an online patient record system on paper production.
  • To investigate the factors contributing to the "paper paradox" observed in digital health transitions.

Main Methods:

  • Qualitative analysis of paper production trends post-OMR implementation.
  • Financial assessment of paper elimination savings and ongoing costs.

Main Results:

  • The OMR system initially led to increased paper production, contrary to expectations.

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  • Elimination of paper records in ambulatory care resulted in $56,000 savings, with potential for $200,000 annually.
  • Identified factors contributing to the "paper paradox" and areas for paper reduction.

    • Conclusions:

    • Digital health transitions, like OMR implementation, can paradoxically increase paper use in the short term.
    • Strategic planning is crucial to overcome challenges and achieve full paperless benefits.
    • Further strategies are needed to reduce reliance on paper in healthcare settings.