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Copying and pasting (CP) and copying or carrying forward (CF) have been adopted to address documentation workload. Semi-structured interviews with clinicians and trainees were analyzed using the Diffusion of Innovations framework. Respondents valued CP/CF for efficiency and communication, but reported inaccuracies, errors, patient-safety risks, and moral distress driven by organizational documentation requirements.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/copy-tools-in-the-electronic-health-record-perceptions-implications-and-future-directions/421284/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/copy-tools-in-the-electronic-health-record-perceptions-implications-and-future-directions/421284.png","ImageObject",300,407,{"name":92,"@type":93},"Rowan","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":24},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What objective guided the study of copying tools in EHRs?","Question",{"text":112,"@type":113},"To describe providers’ perceptions and use of copying tools in the EHR and to collect their suggestions for improving these tools.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were the findings analyzed?",{"text":117,"@type":113},"Semi-structured interviews were conducted with clinicians and trainees at a single academic health sciences center, and analysis was guided by the Diffusion of Innovations Theory of Unintended Consequences.",{"name":119,"@type":110,"acceptedAnswer":120},"What unintended consequences did respondents report for CP/CF?",{"text":121,"@type":113},"Respondents described inaccuracies and errors in documentation and increased patient safety risks, alongside experiences of moral distress tied to meeting organizational documentation requirements.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},421284,1791308317,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":24,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},1099514067415,"https://ap-avatar.wpscdn.com/avatar/100002539d78ffe74a7?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779092875211072502","JMIR MEDICAL INFORMATICS Corby et al  \nOriginal Paper  \nCopy Tools in the Electronic Health Record: Perceptions, Implications, and Future Directions  \n\n| Sky Corby1, MS; Joan S Ash2, PhD; Rebecca M Jungbauer2, DrPH; Gretchen Scholl3, BS; Sarah Florig4, MS; Vishnu Mohan2,5, MD, MBI; Jeffrey A Gold1,2, MD |\n| --- |\n| 1Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Oregon Health & Science University, Portland, OR, United States\u003Cbr>2Division of Informatics, Clinical Epidemiology, and Translational Data Science, Department of Medicine, Oregon Health & Science University, Portland, OR, United States\u003Cbr>3Division of Undergraduate Medical Education, Department of Medicine, Oregon Health & Science University, Portland, OR, United States 4College of Medicine, Nebraska Medical Center, Omaha, NE, United States\u003Cbr>5Division of General Internal Medicine and Geriatrics, Department of Medicine, Oregon Health & Science University, Portland, OR, United States\u003Cbr>Corresponding Author:\u003Cbr>Sky Corby, MS\u003Cbr>Division of Pulmonary, Allergy, and Critical Care Medicine Department of Medicine\u003Cbr>Oregon Health & Science University 3181 Southwest Sam Jackson Park Road\u003Cbr>Portland, OR, 97239 United States Phone: 1 5034948311\u003Cbr>Email: [corby@ohsu.edu](corby@ohsu.edu)\u003Cbr>Abstract |\n| Background: Electronic health records (EHRs) can aid in provider efficiency, but may also lead to unintended consequences, such as documentation burden and increased length of notes. To combat issues related to documentation, copying and pasting (CP) and copying or carrying forward (CF) are tools that have been used to aid in documentation burden. Multiple studies have identified the benefits and challenges of using these tools; however, few studies have identified the unintended consequences of CP and CF, and how the adoption of these tools may affect users.\u003Cbr>Objective: The objective was to describe providers’ perceptions and use of copying tools available in the EHR and describe their suggestions for improvement on these copying tools.\u003Cbr>Methods: Research team members conducted semistructured interviews with faculty members, advanced practice providers, residents or fellow trainees, and medical students at a single academic health sciences center. The Diffusion of Innovations Theory of Unintended Consequences guided the analysis and interpretation of interview results.\u003Cbr>Results: A total of 22 semistructured interviews were conducted in 2023 and analyzed during 2024. The findings showed that respondents use and value these tools for efficiency and communication purposes. The negative unintended consequences include inaccuracies and errors in documentation and increased patient safety risks. Some respondents experience inner angst or moral injury related to using CP/CF, but they feel that they must use them to satisfy organizational requirements surrounding documentation. The respondents suggested that artificial intelligence will likely help improve documentation tools, as would further training around these types of documentation tools.\u003Cbr>Conclusions: Some respondents noted feeling both internal and external pressures that influenced when and how they use CP/CF. Respondents noted that they value EHR copying tools for efficiency purposes, but they also understand the risks involved. This tension may lead to moral angst or moral injury. They offered numerous suggestions for lowering the risk, especially by improving the documentation capabilities of the EHR through artificial intelligence. Future research should investigate both technical and educational solutions to relieve the documentation burden and moral angst they are experiencing.\u003Cbr>(JMIR Med Inform 2025;13:e78502) doi:  10.2196/78502 |\n\n[https://medinform.jmir.org/2025/1/e78502](https://medinform.jmir.org/2025/1/e78502)  \nXSL• FO  \nRenderX  \nJMIR Med Inform 2025 | vol. 13 | e78502 | p. 1 (page number not for citation purposes)  \nJMIR MEDICAL INFORMATICS Corby et al  \nKEYWORDS ","cbCaiqjhrMZXZ4zB","https://ap.wps.com/l/cbCaiqjhrMZXZ4zB","pdf",275723,14,"English","# Abstract\n## Background\n## Objective\n## Methods\n## Results\n## Conclusions\n# Introduction","[{\"question\":\"What objective guided the study of copying tools in EHRs?\",\"answer\":\"To describe providers’ perceptions and use of copying tools in the EHR and to collect their suggestions for improving these tools.\"},{\"question\":\"How were the findings analyzed?\",\"answer\":\"Semi-structured interviews were conducted with clinicians and trainees at a single academic health sciences center, and analysis was guided by the Diffusion of Innovations Theory of Unintended Consequences.\"},{\"question\":\"What unintended consequences did respondents report for CP/CF?\",\"answer\":\"Respondents described inaccuracies and errors in documentation and increased patient safety risks, alongside experiences of moral distress tied to meeting organizational documentation requirements.\"}]","Copy Tools in the Electronic Health Record - Perceptions, Implications, and Future Directions | PDF",1790624506,35]