Abstract
Electronic health record (EHR) systems and health information technology (IT) hold unrealized potential for improving the quality, continuity, and safety of medical care; they can also introduce new gaps in care and present unique challenges for healthcare workers. We conducted 14 key informant, semi-structured interviews at a large Veterans Affairs Medical Center and asked healthcare employees why paper use persists despite a fully implemented EHR. In this investigation, we performed a secondary analysis on interview data to identify characteristics of information technology (IT) that are important to support healthcare workflow. As a result of this study, 17 distinct information characteristics emerged; in this document, we provide detail on five characteristics that were often cited as desirable for workflow but insufficiently supported by health IT: 1) customizable, 2) prioritized, 3) trendable, 4) locatable, and 5) accessible. Results from this study reveal key electronic information characteristics for healthcare workflow and have implications for patient safety and future health IT designs.
