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Participatory Work Flow Analysis prior to Implementation of EPR: A Method to Discover Needs for Change
Pernille Bertelsen1, Inge Madsen, Per Hostrup
1Department of Development and Planning, Aalborg University, Aalborg, Denmark.
Studies in Health Technology and Informatics
|September 15, 2005
Summary
Understanding how clinicians use paper medical records is key for successful Electronic Patient Record (EPR) implementation. This study analyzed current paper record use to inform EPR integration strategies.
Area of Science:
- Health Informatics
- Clinical Workflow Analysis
- Human-Computer Interaction
Background:
- Clinicians currently rely on paper-based medical records.
- Successful implementation of Electronic Patient Records (EPR) requires understanding existing workflows.
- Local clinician knowledge is crucial for organizational change.
Purpose of the Study:
- To investigate how clinicians use paper-based medical records during hospital rounds.
- To identify dependencies on people and artifacts in current record-keeping practices.
- To develop a method for leveraging this knowledge for EPR implementation.
Main Methods:
- Conducted a workflow analysis of ward rounds in two hospital departments (thoracic surgery and cardiology).
- Examined the use of paper-based medical records in relation to other people and artifacts.
- Focused on understanding the daily use of paper records during clinical rounds.
Main Results:
- Detailed the specific ways paper-based medical records are utilized by clinicians.
- Identified key interactions and dependencies within the existing paper record system.
- Provided insights into the practical challenges and facilitators of EPR adoption.
Conclusions:
- Current paper record usage patterns offer valuable insights for EPR implementation.
- Understanding clinician workflows is essential for successful technology adoption.
- Local knowledge must be integrated into the planning of EPR systems.
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