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Persistent paper: the myth of "going paperless"
Richard H Dykstra1, Joan S Ash, Emily Campbell
1Department of Medical Informatics and Clinical Epidemiology; Oregon Health & Science University, Portland, OR, USA.
AMIA ... Annual Symposium Proceedings. AMIA Symposium
|March 31, 2010
Summary
Despite the introduction of Electronic Medical Records (EMR/CPOE), paper remains widely used in healthcare settings. This study found that paper
Area of Science:
- Health Informatics
- Medical Record Management
- Human-Computer Interaction in Healthcare
Background:
- The widespread adoption of Electronic Medical Records (EMR) and Computerized Physician Order Entry (CPOE) systems was expected to reduce paper usage in healthcare.
- However, anecdotal evidence suggests that paper persists even in highly electronic environments.
Purpose of the Study:
- To investigate the extent and reasons for continued paper usage after the implementation of EMR/CPOE systems.
- To understand the factors contributing to the persistence of paper in modern healthcare settings.
Main Methods:
- Analysis of data collected from fourteen diverse healthcare institutions across the United States.
- Qualitative and quantitative assessment of paper usage patterns and contributing factors.
Main Results:
- Paper remains in widespread use across all studied institutions, irrespective of EMR/CPOE implementation.
- Key drivers for paper persistence include psychological, ergonomic, technological, and regulatory factors.
- Paper's unique attributes address critical gaps in information timeliness, availability, and reliability.
Conclusions:
- Paper continues to play a significant role in healthcare delivery, complementing electronic systems.
- Creative adaptations of paper ('better paper') highlight its enduring utility in enhancing patient care.
- Future strategies for health information management should consider the synergistic use of both electronic and paper-based tools.
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