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Some paper workarounds can enhance EMRs, study says

For years, we've been hearing about how a partial EMR implementation creates the need for dual electronic and paper systems, and we've always assumed that this scenario is highly inefficient. Well, you know what they say what happens when you assume something: To that end, a new study from the Regenstrief Institute suggests that old-fashioned pen and paper can boost the power of an EMR.

For the study, researchers found that 20 healthcare workers at Roudebush Veterans Affairs Medical Center in Indianapolis regularly performed 11 types of paper workarounds, most often for ease of use, as a memory aid and to alert colleagues to new or important information, Healthcare IT News reports. In one case that the researchers deemed a useful application of paper, patients with high blood pressure were given pink index cards upon arrival at an outpatient clinic so physicians could instantly know who had the condition. The same information went into the EMR, which the study authors said was a critical step to reduce the potential for error.

To learn more about these findings:
- read the Healthcare IT News story

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The example used in the article of pink cards given to patient is a fine demonstration of a visual cue. This is different from a workaround, which is a wasteful activity that ignores a process perceived perceived by the user as inefficient. The worker "works around" the intended process with another activity that may produce different impacts; same product but take longer, faster output but poorer quality, etc. The goal of the workaround satisfies the needs of the worker rather than the needs of the customer.

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