Promoting Electronic Health Record Adoption. Is It the Correct Focus?

Primary Care Physicians’ Use of an Electronic Medical Record System: A Cognitive Task Analysis

“…However, one participant commented that the automaticity associated with shortcuts and templates could induce errors. Similar concerns have been expressed in a recent viewpoint article 37 and reflected in a study that found a steep rate of high risk copying and pasting of examination data. 43 Attention is another factor that plays an important role in EMRsupported clinical encounters.…”

“…This policy has recently been challenged by critics who argue that there is a need to improve the quality of EMR systems. 37 In line with such arguments, Walker et al have recently questioned the contribution of EMRs to patient safety, 38 and a growing literature has pointed to the unintended adverse consequences of CPOE implementation. In this study these issues were examined at a micro level, focusing on the single physician and the clinical encounter as the unit of analysis.…”

The implementation of clinician designed, human-centered electronic medical record viewer in the intensive care unit: A pilot step-wedge cluster randomized trial

“…Consequences of information overload include communication failures and errors of omission that translate into worse patient outcomes [4][5][6]. EMRs have recently been promoted as vehicles for improving patient safety and outcomes while reducing costs and increasingly such systems are finding their way into the ICU environment [7][8][9]. The potential benefits of EMR adoption are largely unproven in the ICU setting and there is a recognized lack of systematic testing and validation of such systems in clinical settings [10,11].…”

Educational Impact of the Electronic Medical Record

“…In contrast, the problems typically impact the providers and the patients. [7][8][9] To date, scant literature has been implied on the impact of the EMR on medical education. What is published consists mostly of resident perceptions, tracking of clinical experiences, and use of prompts to remind residents to perform specific tasks.…”