Journal of Medical Internet Research

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Workarounds in Electronic Health Record Systems and the Revised Sociotechnical Electronic Health Record Workaround Analysis Framework: Scoping Review

When EHR users experience workflow mismatches, they often create workarounds [16]. Workarounds are practices that handle exceptions to normal workflow [17] and do not follow the rules, assumptions, workflow regulations, or intentions of systems designers [18]. Although workarounds allow EHR users to proceed in accomplishing tasks in their preferred way (with or without the EHR), research shows that workarounds frequently jeopardize the safety, quality, and efficiency of care [19].

Vincent Blijleven, Florian Hoxha, Monique Jaspers

J Med Internet Res 2022;24(3):e33046

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Association Between Workarounds and Medication Administration Errors in Bar Code-Assisted Medication Administration: Protocol of a Multicenter Study

Kobayashi et al [24] defined workarounds as “informal temporary practices for handling exceptions to normal workflow.” Investigating the use of CPOE systems in hospitals, Niazkhani et al [25] described 42 types of workarounds. Koppel et al [26] documented 15 types of workarounds in the BCMA process, including affixing patients’ identification bar codes to computer carts and carrying several patients’ prescanned medications on carts. That study documented 31 roots of these workarounds.

Willem van der Veen, Patricia MLA van den Bemt, Maarten Bijlsma, Han J de Gier, Katja Taxis

JMIR Res Protoc 2017;6(4):e74

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