Very interesting - I don't think that this has been very well identified in the literature about computerization yet. I do know tha there are some other 'downsides' that have been identified
* increased errors because people either just use the 'default' information in a field rather than entering different information
* increased errors due to peculiarities with medication documentation systems - typically, it's difficult to make a late entry or put in any 'customized' information
* decreased evidence of critical thinking - people just go with the flow and click the boxes
Most of the literature has associated problems with failure to involve clinicians in the software design
Software developers don't think like nurses or docs.
But I agree - online records and automation of all those darn handoffs is really great! My 86 yo dad is a VA patient. Their charting systems and electronic infrastructure are wonderful - the clinics are super-efficient and information is always easy to obtain.