000002826 001__ 2826 000002826 005__ 20250424232757.0 000002826 0247_ $$2DOI$$a10.6083/M4HD7TDK 000002826 037__ $$aETD 000002826 245__ $$aThe persistence of paper following ambulatory electronic health record implementation 000002826 260__ $$bOregon Health and Science University 000002826 269__ $$a2014 000002826 336__ $$aCapstone 000002826 502__ $$bM.B.I. 000002826 502__ $$gBiomedical Informatics 000002826 520__ $$aElectronic health record (EHR, also called Electronic Medical Record or EMR) systems are rapidly being implemented throughout the United States. Despite this increasing adoption, paper is still in use in many places and for many purposes. The impetus for this study arose from casual observations in several ambulatory practices. Following the implementation of expensive and complex EHR systems, many providers and staff were still observed spending a significant amount of time and effort managing and responding to information on paper. This project aimed to examine the root causes and unintended consequences of the persistent use of paper following the implementation of an electronic health record (EHR) in the ambulatory environment. 000002826 540__ $$fCC BY 000002826 542__ $$fIn copyright - single owner 000002826 650__ $$aQualitative Research$$034737 000002826 650__ $$aElectronic Health Records$$038928 000002826 650__ $$aAmbulatory Care Facilities$$014523 000002826 651__ $$aUnited States$$041167 000002826 691__ $$aSchool of Medicine$$041369 000002826 692__ $$aDepartment of Medical Informatics and Clinical Epidemiology$$041422 000002826 7001_ $$aLafleur, Joel$$uOregon Health and Science University$$041354 000002826 7201_ $$aLogan, Judith$$uOregon Health and Science University$$041354$$7Personal$$eAdvisor 000002826 8564_ $$9e67b0ce5-39ba-4ca8-8a40-4b40e67f0f2f$$s2614118$$uhttps://digitalcollections.ohsu.edu/record/2826/files/3594_etd.pdf$$ePublic$$2725610d698cd6a03bcf6f9b58bb9167b$$31 000002826 905__ $$a/rest/prod/08/61/2n/71/08612n71j 000002826 909CO $$ooai:digitalcollections.ohsu.edu:2826$$pstudent-work 000002826 980__ $$aBiomedical Informatics