http://journalofethics.ama-assn.org/2011/03/mhst1-1103.html primary barriers to adopting electronic health records Electronic health records American Medical Association Journal of Ethics Institute of Medicine (IOM) Institute of Medicine (IOM) American Medical Association Journal of Ethics Development of the Electronic Health Record American Medical Association Journal of Ethics American Medical Association Journal of Ethics Development of the Electronic Health Record American Medical Association Journal of Ethics American Medical Association Journal of Ethics