From a close friend, about an experience in another hospital:
So, Mom is taken to the ED over the weekend for treatment of an infection. On one side of the room is the computer terminal for EMR access, with ever-changing screen savers touting the benefits of using the electronic record: safer, faster, more accurate, easier for the provider, better for the patient, etc. On the other side of the room, connected to Mom, is the electronic vital sign monitor: heart rate, blood pressure, oxygen, etc.
Half a dozen times, the tech came in to record her vitals. The procedure is: Put on one blue latex glove, take a Sharpie, write down the vital signs on the back of the gloved hand, leave the room, repeat a few hours later.
Does the blue glove go into the paper record? I dunno, but I guess the fancy EMR and the fancy electronic monitor don't talk to each other, because we have to rely on double manual transcription to record vital signs.
By the way, they use the same procedure up on the floor. Plenty of opportunity for improvement in health care.