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Studying Workflow and Workarounds in Electronic Health Record–Supported Work to Improve Health System Performance
- Source :
- Annals of internal medicine, vol 172, iss 11 Suppl
- Publication Year :
- 2020
- Publisher :
- American College of Physicians, 2020.
-
Abstract
- Clinical workflow is the enactment of a series of steps to perform a clinical activity. The transition from paper to electronic health records (EHRs) over the past decade has been characterized by profound challenges supporting clinical workflow, impeding frontline clinicians' ability to deliver safe, efficient, and effective care. In response, there has been substantial effort to study clinical workflow as well as workarounds-exceptions to routine workflow-in order to identify opportunities for improvement. This article describes predominant methods of studying workflow and workarounds and provides examples of the applications of these methods along with the resulting insights. Challenges to studying workflow and workarounds are described, and recommendations for how to approach such studies are given. Although there is not yet a set of standard approaches, this article helps advance workflow research that ultimately serves to inform how to coevolve the design of EHR systems and organizational decisions about processes, roles, and responsibilities in order to support clinical workflow that more consistently delivers on the potential benefits of a digitized health care system.
- Subjects :
- Quality management
Process management
health care facilities, manpower, and services
education
Medical and Health Sciences
01 natural sciences
Workflow
03 medical and health sciences
0302 clinical medicine
Electronic health record
General & Internal Medicine
health services administration
Health care
Internal Medicine
Humans
Electronic Health Records
Medicine
030212 general & internal medicine
0101 mathematics
Set (psychology)
health care economics and organizations
business.industry
Workaround
010102 general mathematics
General Medicine
Quality Improvement
Work (electrical)
Patient Safety
business
Delivery of Health Care
Qualitative research
Subjects
Details
- ISSN :
- 15393704 and 00034819
- Volume :
- 172
- Database :
- OpenAIRE
- Journal :
- Annals of Internal Medicine
- Accession number :
- edsair.doi.dedup.....e6a5dcac72730022fe1fc78833952c32