ArticleJournal of medical Internet research2022
Workarounds in Electronic Health Record Systems and the Revised Sociotechnical Electronic Health Record Workaround Analysis Framework: Scoping Review.
Article in Journal of medical Internet research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Electronic health records: managerial insights from an umbrella review.BMC health services research · 2026Pooled it
- Electronic health record adaptation and innovation among healthcare professionals in hospitals: an integrative framework based on a systematic review.BMC health services research · 2026Pooled it
- Delayed EHR availability of vital signs is associated with nursing shift structure.npj health systems · 2026Article
- Revealing the Physician's Task Conceptualization in Melanoma Treatment: Qualitative User Experience Study.JMIR cancer · 2026Article
- From bedside to bytes: the digital transformation of the healthcare workforce.Frontiers in digital health · 2026Review
- From emergence to recoverability: a sociotechnical control trajectory theory of HIT-related risk.Frontiers in digital health · 2026Article
- Enhancing clinical documentation with voice processing and large language models: a study on the LAOS system.NPJ digital medicine · 2025Article
- Understanding Antecedents of Nurses' and Physicians' Workaround Behavior Regarding Hospital Information Systems: Qualitative Interview Study.Journal of medical Internet research · 2025Article
- Usability Challenges in Electronic Health Records: Impact on Documentation Burden and Clinical Workflow: A Scoping Review.Journal of evaluation in clinical practice · 2025Article
- Do healthcare professionals work around safety standards, and should we be worried? A scoping review.BMJ quality & safety · 2025Article
- "I know I shouldn't but …" the inevitable tension of using workarounds to be a "good nurse".Frontiers in health services · 2025Article
- Requirements for a dashboard optimized for melanoma patient care through user-centered context exploration.Scientific reports · 2024Article
- Safety risks and workflow implications associated with nursing-related free-text communication orders.Journal of the American Medical Informatics Association : JAMIA · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundElectronic health record (EHR) system users devise workarounds to cope with mismatches between workflows designed in the EHR and preferred workflows in practice. Although workarounds appear beneficial at first sight, they frequently jeopardize patient safety, the quality of care, and the efficiency of care.
objectiveThis review aims to aid in identifying, analyzing, and resolving EHR workarounds; the Sociotechnical EHR Workaround Analysis (SEWA) framework was published in 2019. Although the framework was based on a large case study, the framework still required theoretical validation, refinement, and enrichment.
methodsA scoping literature review was performed on studies related to EHR workarounds published between 2010 and 2021 in the MEDLINE, Embase, CINAHL, Cochrane, or IEEE databases. A total of 737 studies were retrieved, of which 62 (8.4%) were included in the final analysis. Using an analytic framework, the included studies were investigated to uncover the rationales that EHR users have for workarounds, attributes characterizing workarounds, possible scopes, and types of perceived impacts of workarounds.
resultsThe SEWA framework was theoretically validated and extended based on the scoping review. Extensive support for the pre-existing rationales, attributes, possible scopes, and types of impact was found in the included studies. Moreover, 7 new rationales, 4 new attributes, and 3 new types of impact were incorporated. Similarly, the descriptions of multiple pre-existing rationales for workarounds were refined to describe each rationale more accurately.
conclusionsSEWA is now grounded in the existing body of peer-reviewed empirical evidence on EHR workarounds and, as such, provides a theoretically validated and more complete synthesis of EHR workaround rationales, attributes, possible scopes, and types of impact. The revised SEWA framework can aid researchers and practitioners in a wider range of health care settings to identify, analyze, and resolve workarounds. This will improve user-centered EHR design and redesign, ultimately leading to improved patient safety, quality of care, and efficiency of care.
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