The modern electronic health record (EHR) has become pervasive and is more than a digital paper chart replacement; it is an interactive tool providing essential functionality on which many practitioners depend. Any disruption in normal EHR function, partial or complete, will challenge the normal operations of any health care environment. A downtime – the effective loss of EHR functionality –is inevitable and can be due to a software- or hardware-based failure of the EHR, a computer network problem or a larger-scale event, including natural or man-made disasters.

Clinicians with experience documenting on both paper and digitally realize the significant differences between them, and the additional EHR functionality benefits are sorely missed when unavailable.1-3  Regardless, providers remain responsible to continue patient care and maintain paper documentation that accurately represents an anesthetic and satisfies regulatory and billing requirements....

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