A National Survey of EMR Usability: Comparisons between medical and nursing professions in the hospital and primary care sectors in Australia and Finland

Lloyd, Sheree; Long, Karrie; Alvandi, Abraham Oshni; Donato, Josie Di; Probst, Yasmine; Roach, Jeremy; Bain, Christopher

doi:10.1016/j.ijmedinf.2021.104535

Cited by 14 publications

(15 citation statements)

References 24 publications

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“…The 17 publications that met the inclusion criteria consisted of five non-randomized pre–post studies 47 48 49 50 51 and 12 observational studies. 43 52 53 54 55 56 57 58 59 60 61 62 Of the 17 studies, only six were considered at a low risk of bias 43 47 52 53 57 60 ( Appendix C ). One study by Rogers 51 reported results that were inconclusive, therefore these results are presented in Table 2 , although excluded from the narrative synthesis.…”

Section: Resultsmentioning

confidence: 99%

“…In a recent Australian survey of clinicians using an EHR, 62.1% of doctors and 72% of nursing staff in hospitals across Australia agreed upon EHRs supporting collaboration and information exchange between clinicians in the same services. 57 Conversely, a study conducted in the United Kingdom in 2014 reported that the IT system (EHR) was perceived to have a negative impact on communication and coordination. 58 Furthermore, a U.S. study of nine critical access hospitals in North Iowa showed no effect of a new EHR on communication between hospital staff before and after implementation, with relatively high rates of clinician satisfaction regarding communication and information transfer with both paper-based records and EHRs.…”

Section: Resultsmentioning

confidence: 99%

“…This systematic review included 17 publications on the effect of the EHR or EHR enhancement on interprofessional practice. The majority of studies evaluated outcomes of communication 43 47 48 49 50 52 53 54 55 56 57 58 59 60 61 62 and coordination. 48 52 55 56 58 59 60 Fewer studies reported on the effect on the EHR/EHR enhancement on collaboration 43 50 53 55 57 59 or teamwork.…”

Section: Discussionmentioning

confidence: 99%

“…The majority of studies evaluated outcomes of communication 43 47 48 49 50 52 53 54 55 56 57 58 59 60 61 62 and coordination. 48 52 55 56 58 59 60 Fewer studies reported on the effect on the EHR/EHR enhancement on collaboration 43 50 53 55 57 59 or teamwork. 49 59 Overall, there were mixed findings on the effect of the EHR/EHR enhancement on interprofessional practice with both positive and negative impacts evident for sharing of information, visibility of information, closed-loop feedback, decision support and workflow disruption.…”

Section: Discussionmentioning

confidence: 99%

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The Effect of the Electronic Health Record on Interprofessional Practice: A Systematic Review

et al. 2022

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Background Interprofessional practice and teamwork are critical components to patient care in a complex hospital environment. The implementation of electronic health records (EHRs) in the hospital environment has brought major change to clinical practice for clinicians which could impact interprofessional practice. Objectives The aim of the study is to identify, describe, and evaluate studies on the effect of an EHR or modification/enhancement to an EHR on interprofessional practice in a hospital setting. Methods Seven databases were searched including PubMed, Scopus, Web of Science, CINAHL, Cochrane, EMBASE, and ACM Digital Library until November 2021. Subject heading and title/abstract searches were undertaken for three search concepts: “interprofessional” and “electronic health records” and “hospital, personnel.” No date limits were applied. The search generated 5,400 publications and after duplicates were removed, 3,255 remained for title/abstract screening. Seventeen studies met the inclusion criteria and were included in this review. Risk of bias was quantified using the Quality Assessment Tool for Studies with Diverse Designs. A narrative synthesis of the findings was completed based on type of intervention and outcome measures which included: communication, coordination, collaboration, and teamwork. Results The majority of publications were observational studies and of low research quality. Most studies reported on outcomes of communication and coordination, with few studies investigating collaboration or teamwork. Studies investigating the EHR demonstrated mostly negative or no effects on interprofessional practice (23/31 outcomes; 74%) in comparison to studies investigating EHR enhancements which showed more positive results (20/28 outcomes; 71%). Common concepts identified throughout the studies demonstrated mixed results: sharing of information, visibility of information, closed-loop feedback, decision support, and workflow disruption. Conclusion There were mixed effects of the EHR and EHR enhancements on all outcomes of interprofessional practice, however, EHR enhancements demonstrated more positive effects than the EHR alone. Few EHR studies investigated the effect on teamwork and collaboration.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Effect of the Electronic Health Record on Interprofessional Practice: A Systematic Review

et al. 2022

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“…In the USA, the Meaningful Use (MU) program was established to facilitate nationwide adoption of EMRs, and resulted in a steep increase in EMR implementation, leading to > 90% of hospitals using a government-certified EMR [ 3 ]. Globally, EMR implementation is also increasing, albeit to varying degrees across different countries [ 5 , 6 ]. The widespread of EMR implementation has exposed several challenges [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Electronic medical record implementation in a large healthcare system from a leadership perspective

Arabi

Ghamdi

Al-Moamary

et al. 2022

BMC Med Inform Decis Mak

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Background Information on the use of change management models to guide electronic medical records (EMR) implementation is limited. This case study describes the leadership aspects of a large-scale EMR implementation using Kotter’s change management model. Methods This case study presents the experience in implementing a new EMR system from the leadership perspective at King Abdulaziz Medical City, a large tertiary care hospital in Riyadh, Kingdom of Saudi Arabia. We described the process of implementation and outlined the challenges and opportunities, throughout the journey from the pre-implementation to the post-implementation phases. Results We described the corresponding actions to the eight domains of Kotter’s change management model: creating a sense of urgency, building the guiding team, developing a change vision and strategy, understanding and buy-in, removing obstacles, creating short-term wins, building on the change and anchoring the changes in corporate culture. Conclusions The case study highlights that EMR implementation is not a pure information technology project but rather is a technical-based complex social adaptive project that requires a specific set of leadership competencies that are central to its success. It demonstrates that change management models might be useful for large-scale EMR implementation.

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National survey of user-reported usability of electronic medical record software in ophthalmology in Germany

Fuhrmann

Schargus

2023

Graefes Arch Clin Exp Ophthalmol

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A National Survey of EMR Usability: Comparisons between medical and nursing professions in the hospital and primary care sectors in Australia and Finland

Cited by 14 publications

References 24 publications

The Effect of the Electronic Health Record on Interprofessional Practice: A Systematic Review

The Effect of the Electronic Health Record on Interprofessional Practice: A Systematic Review

Electronic medical record implementation in a large healthcare system from a leadership perspective

National survey of user-reported usability of electronic medical record software in ophthalmology in Germany

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