Blog: Can Pen and Paper Help Make Electronic Medical Records Better?

Can Pen and Paper Help Make Electronic Medical Records Better?
IUPUI News Center (07/20/09) Aisen, Cindy Fox

Using pen and paper occasionally can make electronic medical records even more useful to healthcare providers and patients, concludes a new study published in the International Journal of Medical Informatics. The study, "Exploring the Persistence of Paper with the Electronic Health Record," was led by Jason Saleem, a professor in the Purdue School of Engineering and Technology at Indiana University-Purdue University Indianapolis. "Not all uses of paper are bad and some may give us ideas on how to improve the interface between the healthcare provider and the electronic record," Saleem says. In the study of 20 healthcare workers, the researchers found 125 instances of paper use, which were divided into 11 categories. The most common reasons for using paper workarounds were efficiency and ease of use, followed by paper's capabilities as a memory aid and its ability to alert others to new or important information. For example, a good use of paper was the issuing of pink index cards to newly arrived patients at a clinic who had high blood pressure. The information was entered into patients' electronic medical records, but the pink cards allowed physicians to quickly identify a patient's blood pressure status. Noting that electronic systems can alert clinicians reliably and consistently, the study recommends that designers of these systems consider reducing the overall number of alerts so healthcare workers do not ignore them due to information overload.

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