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Persistent paper: the myth of "going paperless".

Richard H Dykstra, Joan S Ash, Emily Campbell, Dean F Sittig, Ken Guappone, James Carpenter, Joshua Richardson, Adam Wright, Carmit McMullen

Department of Medical Informatics and Clinical Epidemiology; Oregon Health & Science University, Portland, OR, USA.

Journal Article: AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium 01/2009; 2009:158-62.

Abstract

How does paper usage change following the introduction of Computerized Physician Order Entry and the Electronic Medical Record (EMR/CPOE)? To answer that question we analyzed data collected from fourteen sites across the U.S. We found paper in widespread use in all institutions we studied. Analysis revealed psychological, ergonomic, technological, and regulatory reasons for the persistence of paper in an electronic environment. Paper has unique attributes allowing it to fill gaps in information timeliness, availability, and reliability in pursuit of improved patient care. Creative uses have led to "better paper."

Source: PubMed

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Keywords

Computerized Physician Order Entry
 
electronic environment
 
EMR/CPOE
 
ergonomic
 
gaps
 
information timeliness
 
paper usage change
 
persistence
 
regulatory reasons
 
reliability
 
widespread use