Developing a theoretical model and questionnaire survey instrument to measure the success of electronic health records in residential aged care

Abstract

Electronic health records (EHR) are introduced into healthcare organizations worldwide to improve patient safety, healthcare quality and efficiency. A rigorous evaluation of this technology is important to reduce potential negative effects on patient and staff, to provide decision makers with accurate information for system improvement and to ensure return on investment. Therefore, this study develops a theoretical model and questionnaire survey instrument to assess the success of organizational EHR in routine use from the viewpoint of nursing staff in residential aged care homes. The proposed research model incorporates six variables in the reformulated DeLone and McLean information systems success model: system quality, information quality, service quality, use, user satisfaction and net benefits. Two variables training and self-efficacy were also incorporated into the model. A questionnaire survey instrument was designed to measure the eight variables in the model. After a pilot test, the measurement scale was used to collect data from 243 nursing staff members in 10 residential aged care homes belonging to three management groups in Australia. Partial least squares path modeling was conducted to validate the model. The validated EHR systems success model predicts the impact of the four antecedent variables—training, self-efficacy, system quality and information quality—on the net benefits, the indicator of EHR systems success, through the intermittent variables use and user satisfaction. A 24-item measurement scale was developed to quantitatively evaluate the performance of an EHR system. The parsimonious EHR systems success model and the measurement scale can be used to benchmark EHR systems success across organizations and units and over time.

Measuring safety in older adult care homes: a scoping review of the international literature

“…This may be measured as the rate of omission of safety critical care activities, like ambulation, turning, feeding, personal hygiene or surveillance. 40 The quality of information held in care records, which is used to guide the delivery of care, may also be considered as an indicator of process reliability, 41 and a number of medication-related measures were identified as indicators of the failure of safety-critical processes: for example, incidence of inappropriately prescribed medicines, 42–44 medication errors, 45 psychotropic prescribing for people with dementia, 46 medication review rates and failure to use medication. 47 …”

Navigating Through Electronic Health Records: Survey Study on Medical Students’ Perspectives in General and With Regard to a Specific Training

“…We developed a questionnaire based on literature-derived common themes in EHR use and adapted from prior questionnaires in use [9,15,36]. The questionnaire had undergone cognitive pretesting using the method of think aloud , where the subject concurrently verbalizes thoughts when answering a questionnaire [37,38].…”

Modelo de evaluación de éxito de los sistemas de información, con énfasis en los factores políticos, social y ético en instituciones públicas del Perú

“…Model presented by Yu and Qian (2018), which incorporates six variables in the DeLone and McLean information systems success model: system quality, information quality, service quality, use, user satisfaction and net benefits.…”