Table 5

Lessons and recommendations for EHR implementation

Barriers

Recommended facilitators

Concerns about time

Emphasize efficiency, potential time savings (for example, asynchronous communication, templated notes if appropriate)

Concerns about effect on relationship with patients

1. Physical positioning of computers to minimize disruption of eye contact, et al.

2. Emphasize positive effects on relationship (reminders opening up important conversations, et al.)

Concerns about effect on relationship with colleagues

Emphasize efficiency, quality of care

Bonner et al. Implementation Science 2010 5:63   doi:10.1186/1748-5908-5-63