Hospitals nationwide must demonstrate meaningful use by 2015 or face fines. For over 20 years, researchers have attempted to assess the impact of electronic record keeping technologies on the quality, safety, and efficiency of care, but results are inconclusive and hospital managers have little evidence on which to base staffing decisions as we hurtle toward the era of the paperless hospital.
Author Affiliations: Research Associate (Ms Goldsack), Associate Chief Medical Officer (Dr Robinson), The Value Institute, Christiana Care Health System, Newark, Delaware.
The authors declare no conflicts of interest.
Correspondence: Ms Goldsack, The Value Institute, Christiana Care Health System, 4755 Ogletown Stanton Rd, Newark, DE 19718 (JGoldsack@christianacare.org).