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"We Are Not Entirely Replacing Paper": Understanding Paper Persistence in Emergency Medical Settings

Published: 30 October 2018 Publication History

Abstract

The introduction of an electronic flowsheet for documenting resuscitations at an urban, pediatric teaching hospital provided a unique opportunity to study the transition from paper to electronic documentation. We examine the persistent use of paper as a workaround by nurse documenters during the adoption of new technology and how these workarounds become routinized in their work practices. We discuss the effects of paper persistence on aspects of documentation and nurses' workload.

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References

[1]
Lynn E. Eastes, Janie Johnson, and Maureen Harrahill. 2010. Using the electronic medical record for trauma resuscitations: Is it possible?. Journal of Emergency Nursing 36, 4: 381--384.
[2]
Yu T. Kenneth, and Robert A. Green. 2009. Critical aspects of emergency department documentation and communication. Emergency Medicine Clinics 27, 4: 641--654.
[3]
Sun Young Park, Katie Pine, and Yunan Chen. 2013. Local-universality: designing EMR to support localized informal documentation practices. In Proc. of the 2013 Conference on Computer Supported Cooperative Work (CSCW '13), 55--66.
[4]
Jason J. Saleem, Alissa L. Russ, Connie F. Justice, Heather Hagg, Patricia R. Ebright, Peter A. Woodbridge, and Bradley N. Doebbeling. 2009. Exploring the persistence of paper with the electronic health record. International Journal of Medical Informatics 78, 9: 618--628.
[5]
Aleksandra Sarcevic, and Nicole Ferraro. 2016. On the Use of Electronic Documentation Systems in Fast-Paced, Time-Critical Medical Settings. Interacting with Computers 29, 2: 203--219.
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Abigail J. Sellen, and Richard HR Harper. 2003. The myth of the paperless office. MIT press.
[7]
Lee Ann Wurster, Jonathan I. Groner, and Jeffrey Hoffman. 2012. Electronic documentation of trauma resuscitations at a level 1 pediatric trauma center. Journal of Trauma Nursing 19, 2: 76--79.
[8]
Xiaomu Zhou, Mark Ackerman, and Kai Zheng. 2011. CPOE workarounds, boundary objects, and assemblages. In Proc. of the SIGCHI Conference on Human Factors in Computing Systems (CHI '11), 3353--3362.
[9]
Pine, Kathleen H., and Melissa Mazmanian. 2014. Institutional logics of the EMR and the problem of 'perfect' but inaccurate accounts. In Proc. of the 17th ACM Conference on Computer supported Cooperative Work & Social Computing (CSCW '14), 283--294.

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      Published In

      cover image ACM Conferences
      CSCW '18 Companion: Companion of the 2018 ACM Conference on Computer Supported Cooperative Work and Social Computing
      October 2018
      518 pages
      ISBN:9781450360180
      DOI:10.1145/3272973
      Permission to make digital or hard copies of part or all of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for third-party components of this work must be honored. For all other uses, contact the Owner/Author.

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      New York, NY, United States

      Publication History

      Published: 30 October 2018

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      Author Tags

      1. electronic health records
      2. emergency medicine
      3. nursing documentation
      4. paper persistence
      5. workarounds

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      CSCW '18 Companion Paper Acceptance Rate 105 of 385 submissions, 27%;
      Overall Acceptance Rate 2,235 of 8,521 submissions, 26%

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      Cited By

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      • (2024)Reenvisioning Patient Education with Smart Hospital Patient RoomsProceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies10.1145/36314197:4(1-23)Online publication date: 12-Jan-2024
      • (2024)Hospital Employee Experiences Caring for Patients in Smart Patient RoomsProceedings of the 2024 CHI Conference on Human Factors in Computing Systems10.1145/3613904.3642201(1-16)Online publication date: 11-May-2024
      • (2023)It Made Me Feel So Much More at Home Here: Patient Perspectives on Smart Home Technology Deployed at Scale in a Rehabilitation HospitalProceedings of the 2023 CHI Conference on Human Factors in Computing Systems10.1145/3544548.3580757(1-15)Online publication date: 19-Apr-2023
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      • (2021)Tensions in Representing Behavioral Data in an Electronic Health RecordComputer Supported Cooperative Work (CSCW)10.1007/s10606-021-09402-7Online publication date: 22-Jun-2021
      • (2020)«Vi har jo blåboka, svartboka og alle listene …» En kvalitativ studie blant pleiefaglig ansatte og studenter om dokumentasjonspraksis i helse- og omsorgstjenesten.Tidsskrift for omsorgsforskning10.18261/issn.2387-5984-2020-02-056:2(54-69)Online publication date: 20-Nov-2020
      • (2020)Making Chat at Home in the Hospital: Exploring Chat Use by NursesProceedings of the 2020 CHI Conference on Human Factors in Computing Systems10.1145/3313831.3376166(1-15)Online publication date: 21-Apr-2020
      • (2020)Trauma Activation Responsiveness: An RFID-enabled trauma flowsheet2020 42nd Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC)10.1109/EMBC44109.2020.9175880(5718-5721)Online publication date: Jul-2020

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