March 2013

Document Type


Degree Name



Dept. of Medical Informatics and Clinical Epidemiology


Oregon Health & Science University


Background The electronic health record (EHR) is now an integral part of the majority of primary care practices, particularly after passage of the Health Information Technology for Economic and Clinical Health (HITECH) Act. Many studies have been published looking at use of the EHR with respect to quality of care, safety and cost. Many studies have focused on the challenges surrounding EHR implementations. A key factor in successful practice of primary care, particularly evident in experienced EHR users, is the impact of the EHR on the workflow. Objective This study will provide a systematic review of recent literature examining the impact of the EHR on the workflow of primary care practitioners who are at least six months beyond initiation of EHR implementation. Materials and methods Searches of CINAHL, Clinical Evidence, the Cochrane Library and Medline were performed, seeking articles published between January 2003 and January 2013. 21 studies ultimately met inclusion criteria.




School of Medicine



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