Table 4. Theme 3: Alterations in Document Structure and Content:Representative Quotations
Categories | Quotations |
| Redundancy | "You will see the same informationrepeated over and over again in notes; you will see the same misinformation repeated over and overagain in notes; to the pointyou can't easily identify where the misinformation began." |
| Longer documents | "You're having to scroll down throughso much information, sometimes 40-50 lines of laboratorydata, of MCVs and MCHCs and anion gaps and this and that, you know, that'sbeen repeated a bunch of times." |
| Poor formatting | "The current format (of automatically inserted medication and labdata) I find very difficult to read... It'shard to see the forest for the trees sometimes." |
| "There's a bunch of stuff you don'tcare about and that hides the stuff you do care about inthe labs. I don't like the format it comes in ... and, there's no way tolike highlight what you think is important, or to put it in a prioritizedfashion easily." | |
| More clutter | "You see vast reams of irrelevantdata being imported... the sheer mass of data basically overwhelms peoples' ability to understand what's goingon." |
| "There is so much data that it'sjust visually hard to pick out what's pertinent." | |
| "So the information that you find in dischargesummaries now is full of extraneous pieces of information making it moredifficult for the primary care provider to sort through the detail tryingto figure out what was actually the course, plan, and what still needs tobe done." |