Journal of the American Medical Informatics Association : JAMIA
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J Am Med Inform Assoc · Nov 2006
From the front line, report from a near paperless hospital: mixed reception among health care professionals.
Many Norwegian hospitals that are equipped with an electronic medical record (EMR) system now have proceeded to withdraw the paper-based medical record from clinical workflow. In two previous survey-based studies on the effect of removing the paper-based medical record on the work of physicians, nurses and medical secretaries, we concluded that to scan and eliminate the paper based record was feasible, but that the medical secretaries were the group that reported to benefit the most from the change. To further explore the effects of removing the paper based record, especially in regard to medical personnel, we now have conducted a follow up study of a hospital that has scanned and eliminated its paper-based record. ⋯ The increase in use was not accompanied by a similar change in factors such as computer literacy or technical changes, suggesting that these typical success factors are necessary but not sufficient.
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J Am Med Inform Assoc · Nov 2006
Effectiveness of clinician-selected electronic information resources for answering primary care physicians' information needs.
To determine if clinician-selected electronic information resources improve primary care physicians' abilities to answer simulated clinical questions. ⋯ For the primary care physicians studied, electronic information resources of choice did not always provide support for finding correct answers to simulated clinical questions and in some instances, individual resources may have contributed to an initially correct answer becoming incorrect.