Tricerat Blog

Epic Printing Issues: Vanishing Print Jobs, Spooler Errors & More

Written by Andrew Parlette, CTO | Apr 2, 2025 4:18:10 PM

Epic Hyperspace is the nervous system of a modern healthcare organization, facilitating everything from electronic medical records (EMR) management to clinical workflows and billing operations. But if you’ve worked in healthcare IT, you already know that Epic printing is often the Achilles’ heel of an otherwise well-integrated system.

Jump ahead to EHR/EMR challenges and quick solutions

1. How Epic Hyperspace Routes Print Jobs & Points of Failure

2. Print Spooler Failures and Stuck Jobs

3. Virtual Desktop Session & Redirection Issues

4. Misrouted Print Jobs in Multi-Site Hospitals

5. Print Management Solution for EHR/EMR Printing

 

How Epic Hyperspace Routes Print Jobs & Points of Failure

Unlike general enterprise printing, Epic printing isn’t just about getting documents onto paper—it’s about precision, security, and timing. A single failure can cascade into operational, financial, and compliance risks. Consider these mission-critical scenarios:

  • Medication Administration Records (MARs) and barcode labels must be printed accurately—a missing or unreadable barcode can lead to medication errors.
  • A patient’s wristband must print instantly upon admission—a delay could result in misidentification and compromised care.
  • Billing statements, financial summaries, and Epic Clarity reports must print securely and on time, or the hospital risks delayed reimbursements and compliance issues. 

Now, add the complexity of VDI environments (Citrix, VMware, etc), multi-site hospital networks, and remote MyChart printing. Suddenly, print management isn't just IT's problem—it affects patient care. 

Why is healthcare and EMR/EHR printing so complex?

Printing in hospitals is fundamentally different from traditional enterprise printing. Unlike a corporate office where employees print documents at will, EHR/EMR printing is deeply embedded into stringent clinical requirements and regulation processes and applications.

Downtime is not an option: A single failed print job in a hospital setting can delay treatment, misroute patient orders, and disrupt revenue cycles.

As a result, Epic’s printing system is not a simple "send-to-printer" process—it's a complex system of dependencies, security, and clinical logic that must function perfectly across thousands of print jobs.

How Epic Hyperspace Routes Print Jobs and Common Failure Points

Unlike standard printing models that send documents directly from a user’s application to a printer, Epic uses a multi-layered print system, adding both efficiencies and vulnerabilities.

Epic EMR printing workflow includes the following modules:

Potential failure points in EMR printing:

While this model provides scalability and control, it also introduces several potential points of failure that can disrupt operations, slow down print jobs, and cause security gaps.

Top 3 Epic Hyperspace Printing Issues and Solutions

Many IT leaders find themselves in a constant cycle of troubleshooting the same recurring problems as they pile up in the IT help desk queue. 

These kinds of support tickets aren’t minor inconveniences but point systemic failures in print infrastructure that can cost hospitals millions annually  in lost productivity, compliance fines, and wasted resources.

1. Print Spooler Crashes & Stuck Jobs

Hospitals process thousands of print jobs daily, and many rely on Windows-based print servers to manage print queues. However, this architecture creates a major single point of failure:

  • Epic Print Services (EPS) queues print jobs before sending them to the Windows Print Spooler.
  • If the spooler crashes, all pending print jobs are stuck or lost entirely.
  • Lab orders, MAR labels, and wristbands fail to print, delaying critical patient care.
  • Clinicians, pharmacists, and administrative staff flood IT support with urgent complaints.

Why are print jobs stuck or failed in the spooler?

High print volumes in large hospitals often crash the spooler unexpectedly. This issue is particularly severe when running the Windows Print Spooler, which crashes most frequently due to:

⚙️ How to prevent print spooler crashes:

Enable Automatic Spooler Recovery – Use PowerShell scripts to detect and restart spoolers before failures escalate. For example:

if ((Get-Service -Name "Spooler").Status -ne "Running") { Start-Service "Spooler" }

Deploy Load-Balanced Print Servers – Spread print traffic across multiple servers for high availability.
Enable Print Job Logging & RetentionStore print job metadata to diagnose and prevent recurring failures.
Eliminate Spooler Dependency – Solutions like Tricerat’s ScewDrivers allow processing of Epic print jobs directly at the workstation level.

2. VDI Sessions & Redirection Failure

Hospitals increasingly rely on Citrix Virtual Apps & Desktops or VMware Horizon to deliver Epic Hyperspace to remote and mobile users. However, VDI printing is notoriously unreliable, leading to:

  • Printers disappear every time a user logs in to a new session.
  • Slow or missing print jobs when using Citrix Universal Print Driver (UPD).
  • Print jobs routing to the wrong printer due to incorrect session-based mapping.

Why policy-based printing often fails:

VDI environments treat printers differently than traditional desktops. Instead of persistent printer assignments, Citrix and VMware dynamically assign printers based on session policies, causing three major printing failures for Epic users:

⚙️ How to ensure reliable printing sessions in Citrix/VMware

Enable Epic Virtual Local Print (VLP) – Bypasses Citrix/VMware print redirection, improving reliability.
Use Active Directory GPOs – Assigns printers based on location, role, and department policy.
Implement Citrix Session Persistence – Ensures settings remain unchanged across logins.

3. Misrouted Print Jobs in Multi-Site Hospitals

Large hospitals with multiple campuses, outpatient clinics, and specialty centers often experience misrouted print jobs, which cause:

  • Patient wristbands printing at an outpatient facility instead of the emergency room.
  • Medication labels printing in the finance department instead of the pharmacy.
  • Epic billing reports printing to a physician’s office instead of the hospital finance team.

These routing errors delay critical operations, increase security risks, and create workflow inefficiencies.

Why print jobs get sent to the wrong printer:

⚙️ How to prevent misrouted print jobs

Use Epic Dynamic Print Mapping – Ensures printers are assigned based on workstation ID and user role.
Deploy a Print Management Console – Centralizes print job tracking, auditing, and redirection.
Enable VLAN-Based Printer Segmentation – Restricts print jobs to specific locations.

Key Takeaways: Epic Printing Is a Critical Healthcare Issue, Not a Peripheral One

> For CIOs & IT Directors – Epic print should be treated as a priority—not just a desktop support issue.
> For System Administrators – Reducing print-related workload means automating repetitive troubleshooting tasks and eliminating dependencies on fragile infrastructure.
> For Compliance & Security – PHI must be protected across print workflows, just like digital setups.

Final Thoughts: The Need for Proactive EMR Print Management Strategy

The healthcare industry is undergoing massive digital transformation—but printing remains a stubborn weak link in IT infrastructure. Ignoring Epic printing issues is no longer an option.

IT teams must move beyond break-fix troubleshooting and adopt proactive print strategies that ensure:

Always-available printing for patient care.
PHI security & HIPAA compliance.
Scalable, self-healing print workflows.

If your hospital still struggles with print spooler crashes, misrouted PHI, and Citrix printing failures, it’s time to rethink your print strategy.

Tricerat specializes in Epic, Citrix, and enterprise print management for healthcare. Learn how our solutions eliminate print bottlenecks, improve security, and reduce IT workload—so your team can focus on what really matters: patient care.