No paper, but the same routines: a qualitative exploration of experiences in two Norwegian hospitals deprived of the paper based medical record

BMC Medical Informatics and Decision Making
Jan-Tore LiumArild Faxvaag

Abstract

It has been shown that implementation of electronic medical records (EMR) and withdrawal of the paper-based medical record is feasible, but represents a drastic change in the information environment of hospital physicians. Previous investigations have revealed considerable inter-hospital variations in EMR system use and user satisfaction. The aim of this study was to further explore changes of clinicians' work after the EMR system implementation process and how they experienced working in a paper-deprived information environment. Qualitative study based on 18 semi-structured interviews with physicians in two Norwegian hospitals. Ten different but related characteristics of work within the EMR-based practice were identified; (1) there was closer clinical and administrative cooperation during the implementation processes; (2) there were greater benefits when everybody used the system; (3) systems supported freshmen better than experienced physicians; (4) the EMR was useful in regard to professional learning; (5) new users were given an introduction to the system by experienced; (6) younger clinicians reported different attitudes than senior clinicians, but this might be related to more than age and previous experience with comput...Continue Reading

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Citations

Apr 20, 2013·Journal of the American Medical Informatics Association : JAMIA·Kathrin M CresswellAziz Sheikh
Mar 10, 2012·BMC Medical Informatics and Decision Making·Kathrin M CresswellAziz Sheikh
Jun 16, 2009·BMC Medical Informatics and Decision Making·Eivind VedvikArild Faxvaag
May 26, 2010·BMC Health Services Research·Imogen SavageBryony Dean Franklin
Sep 1, 2009·Journal of the American Medical Informatics Association : JAMIA·Kim M UnertlNancy M Lorenzi
Jan 21, 2014·BMC Medical Research Methodology·Anaïs Le JeannicUNKNOWN CompaRec Investigators
Aug 3, 2014·International Journal of Medical Informatics·Lemai NguyenLinh Thuy Nguyen
Feb 18, 2016·International Journal of Medical Informatics·Mikhail A DziadzkoPablo Moreno Franco
Jan 8, 2014·Informatics for Health & Social Care·Marita KoivunenMaritta Välimäki
Jan 23, 2016·BMC Pregnancy and Childbirth·J Frederik FrøenVicki J Flenady
Jan 1, 2011·Applied Clinical Informatics·V HeimlyA Faxvaag
Feb 22, 2012·IEEE Transactions on Information Technology in Biomedicine : a Publication of the IEEE Engineering in Medicine and Biology Society·Hissam TawfikAtulya K Nagar
Feb 12, 2014·SpringerPlus·Parvin Lakbala, Kavoos Dindarloo
Nov 11, 2016·BMC Medical Informatics and Decision Making·Philip J ScottSteven H Shaha

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Methods Mentioned

BETA
X-ray

Software Mentioned

QSR NVivo
EMR
NVivo
DIPS

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