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Configuring electronic health record (EHR) systems for clerical staff presents unique challenges due to their "invisible" workflows. This study explores difficulties in tailoring EHRs for secretaries in Norway, highlighting their lower hierarchical position impacting system optimization.

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Area of Science:

  • Health Informatics
  • Human-Computer Interaction
  • Healthcare Management

Background:

  • Electronic Health Record (EHR) systems aim to serve diverse healthcare users.
  • Extensive configurability allows tailoring EHRs to various professional practices.
  • Clerical personnel, like secretaries, perform less defined 'invisible' work compared to physicians or nurses.

Purpose of the Study:

  • To explore the challenges in configuring EHR suites for secretary workflows.
  • To understand the difficulties in tailoring EHR systems to the needs of clerical staff.
  • To investigate how the hierarchical position of secretaries affects EHR system optimization.

Main Methods:

  • Qualitative exploration of EHR configuration challenges.
  • Focus on secretary workflows within the Health Platform program.
  • Analysis of user needs and system adaptability for clerical personnel.

Main Results:

  • Secretary workflows are difficult to define and integrate into standard EHR configurations.
  • The lower hierarchical status of secretaries hinders their ability to advocate for system improvements.
  • Tailoring EHRs for clerical staff requires addressing 'invisible' tasks and improving user satisfaction.

Conclusions:

  • Configuring EHR systems for clerical staff requires specific attention to their unique and often 'invisible' work processes.
  • Addressing the needs of lower-hierarchy staff is crucial for equitable and effective EHR implementation.
  • Further research is needed to develop better methods for adapting EHRs to support all healthcare personnel.