Active Involvement of End-Users in an EHR Procurement Process: a Usability Walkthrough Feasibility Case Study

Marcilly, Romaric; Lesselroth, Blake; Guerlinger, Sandra; Pigot, Annick; Schiro, Jessica; Pelayo, Sylvia

doi:10.1007/s11606-023-08277-2

Cited by 2 publications

(2 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is important to consider all end users' opinions during the development of healthcare technologies [ 17 ], a key consideration that is underscored in the present study, where participants felt that those who use the system should have had more to say about its design. The association between age and satisfaction level suggests that the involvement of end users in the development and implementation of these systems may be particularly important in the case of older users [ 22 ]. However, it is also important to note that this issue may decrease as future generations of clinicians are raised with greater access to technology.…”

Section: Discussionmentioning

confidence: 99%

Clinicians' Attitudes Toward Electronic Health Records in Saudi Arabia

Alessa

2024

Cureus

View full text Add to dashboard Cite

Aim: This study explored physicians' and nurses’ attitudes toward an electronic health record (EHR) system and examined the features and factors that clinicians associated with the implementation of EHR systems. Methods: A self-administered anonymous questionnaire with high reliability and validity was adopted from existing research to gather clinicians’ attitudes toward the EHR system implemented at King Khalid University Hospital, one of the biggest hospitals in Riyadh, Saudi Arabia. Results: A total of 438 questionnaire responses were received from the participants; 240 of them were physicians and 198 were nurses. The participants had a mean age of 43.7 years (standard deviation (SD) 17.1), 213 (52.7%) were female and 207 (47.3%) were male. Most participants (424, 96.8%) had one or more years of experience using computers, and a majority (304, 69.4%) had one or more years of experience using EHR systems. Most physicians and nurses (214, 89.5% vs. 174, 87.9%) were satisfied with their hospital’s EHR system and felt that the system was highly usable and had the potential to improve communication between staff, facilitate easy storage of and access to information and lead to improved health outcomes for patients. The study found positive attitudes among clinicians concerning the quality of training and education around the new system (178, 74.2% of physicians vs. 142, 71.7% of nurses; p > 0.05) and toward leadership during the transition to HER (222, 92.5% vs. 183, 92.4%). On the other hand, a majority of nurses reported that the EHR system took longer to use and increased their workload compared with the previous analogue system (115 (47.9%) vs. 133 (67.2%); p ≤ 0.01 and 46.7% vs. 112 (64.1%)). A large majority of physicians and nurses surveyed (214 (89.2%) vs. 167 (84.3%)) stated that clinicians should be consulted in the design of such systems as a way to maximise the potential benefits of EHR and mitigate extra workload demands. Conclusion: Most clinicians expressed overall satisfaction with the EHR system, but there were some areas of dissatisfaction among the respondents, such as increasing workload and stress among nurses. There is scope for further research to continue to explore physicians' and nurses’ attitudes toward EHRs and for future experimental studies that examine the impact of EHRs on clinician workloads, patient health outcomes and quality of care.

show abstract

Section: Discussionmentioning

confidence: 99%

Clinicians' Attitudes Toward Electronic Health Records in Saudi Arabia

Alessa

2024

Cureus

View full text Add to dashboard Cite

show abstract

“…Studies indicate that the use of EHR systems will be associated with the poor ability of adverse results in the provision of health services, including low participation, job dissatisfaction, medication errors, mortality, and readmission (30). Increasing safety, appropriately managing patients, and enhancing cognitive function are all correlated with better system usability (31)(32)(33). The usability and beneficial implementation of the product in the complex and realworld clinical environment are fostered by the user-centered design process of the EHR and the evaluation of system usability during design and implementation (34).…”

Section: Introductionmentioning

confidence: 99%

Design and evaluation of a web-based electronic health record for amblyopia

Naemi,

Akbarian,

Ebrahimi

et al. 2024

Front. Med.

View full text Add to dashboard Cite

IntroductionAmblyopia, or lazy eye, is a type of visual impairment in which the eyesight is not complete, even with the use of glasses. For the treatment of this disease, accurate and continuous examinations are needed. Nowadays, patient-centered care, by relying on web-based electronic records for amblyopia, has the potential to reduce treatment costs, increase the quality of care, and improve the safety and effectiveness of treatment. Therefore, the purpose of this study is to design and evaluate an Electronic Health Record (EHR) for patients with amblyopia.MethodsThe present study is applied developmental research. Using a Morgan table as a sampling tool, a straightforward random sampling technique selected 150 records from 1,500 records that were free of flaws. The design of the electronic version proceeded in a cascading manner so that after the design of each part, it was presented to the amblyopia experts, and if approved, the next part was designed. To design this EHR, the C# programming language and MySQL database were used. A system evaluation was performed by entering and recording patient information. For this purpose, the standard Questionnaire of User Interaction Satisfaction (QUIS), consisting of 18 questions, was used.ResultsAccording to the amblyopia EHR data elements, the data of physician and patient, examinations, website members, and members’ roles were determined. After defining the fields and classes that explain the tables, the EHR was designed. The usability evaluation of the system showed that the mean selection of very good and good options by the users of EHRs was over 90%, indicating the patients’ acceptance of web-based EHRs.ConclusionThe design of an EHR for amblyopia is an effective step toward integrating and improving the information management of these patients. It will also enable the storage and retrieval of patients’ information to reduce and facilitate the control of amblyopia complications.

show abstract

Active Involvement of End-Users in an EHR Procurement Process: a Usability Walkthrough Feasibility Case Study

Cited by 2 publications

References 38 publications

Clinicians' Attitudes Toward Electronic Health Records in Saudi Arabia

Clinicians' Attitudes Toward Electronic Health Records in Saudi Arabia

Design and evaluation of a web-based electronic health record for amblyopia

Contact Info

Product

Resources

About