title: Persistent paper: the myth of "going paperless".
abstract: How does paper usage change following the introduction of Computerized Physician Order Entry and the Electronic Medical Record (EMR/CPOE)? To answer that question we analyzed data collected from fourteen sites across the U.S. We found paper in widespread use in all institutions we studied. Analysis revealed psychological, ergonomic, technological, and regulatory reasons for the persistence of paper in an electronic environment. Paper has unique attributes allowing it to fill gaps in information timeliness, availability, and reliability in pursuit of improved patient care. Creative uses have led to "better paper."
authors.affiliation: Department of Medical Informatics and Clinical Epidemiology; Oregon Health & Science University, Portland, OR, USA.
authors.forename: Richard H
authors.initials: RH
authors.lastname: Dykstra
authors.forename: Joan S
authors.initials: JS
authors.lastname: Ash
authors.forename: Emily
authors.initials: E
authors.lastname: Campbell
authors.forename: Dean F
authors.initials: DF
authors.lastname: Sittig
authors.forename: Ken
authors.initials: K
authors.lastname: Guappone
authors.forename: James
authors.initials: J
authors.lastname: Carpenter
authors.forename: Joshua
authors.initials: J
authors.lastname: Richardson
authors.forename: Adam
authors.initials: A
authors.lastname: Wright
authors.forename: Carmit
authors.initials: C
authors.lastname: McMullen
mesh_terms: D004059:Diffusion of Innovation; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D050316:Medical Order Entry Systems / Q000706:statistics & numerical data*; D009816:Office Automation / Q000706:statistics & numerical data*; D010209:Paper; D014481:United States