4.2 Efficiency implications for EHR design
Efficiency was tied for most frequent reason for use of paper workarounds, many for use of paper workarounds, many of which related to ordering. The efficiency finding for paper persistence has two distinct implications. One is that the paper workaround phenomena indicated the EHR was not sufficiently designed and does not efficiently support clinicians’ work and/or is not aligned with clinicians’ natural workflow. Secondly, some paper workarounds replaced important EHR documentation or circumvented critical EHR-designed safety checks. These workarounds may lead to potential gaps in documentation and potential patient safety risks.