title: Everyday ethical dilemmas arising with electronic record use in primary care.
abstract: The introduction of electronic medical record systems (EMRs) into primary care settings alters work practices, introduces new challenges, and new roles. In the process of integrating an EMR into a primary care setting, clinic staff faced ethical challenges in their everyday work practices resulting from workarounds undertaken to compensate for a poor fit between system design and work practices, issues related to system access, and governance gaps. Examples of these issues are presented, and implications for system design are discussed.
authors: Simon Fraser University, Burnaby BC, Canada. ellenb@sfu.ca
authors: Ellen
authors: E
authors: Balka
authors: Marianne
authors: M
authors: Tolar
mesh_terms: D022126:Access to Information; D003153:Community Health Services / Q000458:organization & administration; D003625:Data Collection; D057286:Electronic Health Records / Q000941:ethics*; D004992:Ethics, Medical; D006801:Humans; D008490:Medical Informatics / Q000379:methods; D016347:Medical Records Systems, Computerized / Q000941:ethics* / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000706:statistics & numerical data