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This paper studies the user behavior of an electronic health records (EHR) system by discovering sequential usage patterns in clinicians' day-to-day interaction with the system's software user interface. Clinicians demonstrated consistent behaviors in interacting with the EHR, some of which were not anticipated by the designers of the system or the clinic management. Awareness of such behaviors would inform a more effective EHR design, help clinicians standardize day-to-day clinical practice through consistent interaction with EHRs, and anticipate some unintended consequences of IT use related to software user interface design and workflow integration.
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