No paper, but the same routines: a qualitative exploration of experiences in two Norwegian hospitals deprived of the paper based medical record
2008

Exploring Experiences with Electronic Medical Records in Norwegian Hospitals

Sample size: 18 publication Evidence: moderate

Author Information

Author(s): Jan-Tore Lium, Aksel Tjora, Arild Faxvaag

Primary Institution: Norwegian University of Science and Technology (NTNU)

Hypothesis

How do clinicians experience working in a paper-deprived information environment after implementing electronic medical records?

Conclusion

The removal of paper-based records was seen as useful, but many old routines persisted, limiting the EMR system's potential benefits.

Supporting Evidence

  • Physicians reported that the EMR system improved access to patient information.
  • Younger clinicians adapted to the EMR system more quickly than senior clinicians.
  • Instances of downtime affected clinicians' attitudes towards the EMR system.

Takeaway

Doctors in two hospitals found that while using computers for patient records was helpful, they still did many things the old way, which made it harder to get the full benefits of the new system.

Methodology

Qualitative study based on 18 semi-structured interviews with physicians.

Limitations

The study focused only on two hospitals, which may not represent all hospitals' experiences with EMR systems.

Participant Demographics

Physicians from two Norwegian hospitals, including interns, residents, and senior physicians.

Digital Object Identifier (DOI)

10.1186/1472-6947-8-2

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