December 1, 2009Open Access
View Full PaperTensions and Paradoxes in Electronic Patient Record Research: A Systematic Literature Review Using the Meta‐narrative Method
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Abstract
The findings suggest that EPR use will always require human input to recontextualize knowledge; that even though secondary work (audit, research, billing) may be made more efficient by the EPR, primary clinical work may be made less efficient; that paper may offer a unique degree of ecological flexibility; and that smaller EPR systems may sometimes be more efficient and effective than larger ones. We suggest an agenda for further research.