“How To” Videos Improve Residents Performance of Essential Perioperative Electronic Medical Records and Clinical Tasks

Zoghbi, Veronica; Caskey, Robert C.; Dumon, Kristoffel R.; Ballester, Jacqueline M. Soegaard; Brooks, Ari D.; Morris, Jon B.; Dempsey, Daniel T.

doi:10.1016/j.jsurg.2017.07.009

Cited by 13 publications

(19 citation statements)

References 18 publications

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“…Previous studies by Thiyagarajan et al 30 and Zoghbi et al 31 report positive effects of video tutorials for medical students and medical residents; however, the authors used different study designs: a retrospective chart review and a single-institution prospective study, respectively, and did not report the effect size of their video tutorial interventions. In contrast, the quasi-experimental approach of the efficacy study presented here has allowed for a more detailed examination of the video tutorials intervention (MD-PET).…”

Section: Discussionmentioning

confidence: 99%

“…CCM-based video tutorials were investigated to determine their potential to improve processes of care for type 1 and type 2 diabetes. Although video tutorials have recently been applied in a few studies to support EHR training for medical students, medical residents and nursing students,29–31 their potential to support PCPs or practicing physicians in general has not been widely investigated. Further, the potential of EMR video tutorials that are based on the CCM, clinician-led training and best practices for designing software video tutorials has rarely been examined.…”

Section: Discussionmentioning

confidence: 99%

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Evaluating a post-implementation electronic medical record training intervention for diabetes management in primary care

Randhawa

Shachak

Courtney

et al. 2019

BMJ Health Care Inform

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ObjectiveThis study evaluated the potential for electronic medical record (EMR) video tutorials to improve diabetes (type 1 and 2) care processes by primary care physicians (PCP) using OSCAR EMR.DesignA QUAN(qual) mixed methods approach with an embedded design was used for the overall research study. EMR video tutorials were developed based on the chronic care model (CCM), value-adding EMR use, best practice guidelines for designing software video tutorials and clinician-led EMR training.ResultsIn total, 18 PCPs from British Columbia, Canada, participated in the study. The video EMR intervention elicited a statistically significant increase in EMR advanced feature use for diabetes care, with a large effect size (ie, F(1,51)=6.808, p<0.001, partial η2=0.286).ConclusionThis small-scale efficacy study demonstrates the potential of CCM-based EMR video tutorials to improve EMR use for chronic diseases, such as diabetes. A larger-scale effectiveness study with a control group is needed to further validate the study findings and determine their generalisability. The demonstrated efficacy of the intervention suggests that EMR video tutorials may be a cost-effective, sustainable and scalable strategy for supporting EMR optimisation and the continuous learning and development of PCPs. Health informatics practitioners may develop video tutorials for their respective EMR/electronic health record software based on theory and best practices for video tutorial design. For patients, EMR video tutorials may lead to improved tracking of processes of care for diabetes, and potentially other chronic conditions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Evaluating a post-implementation electronic medical record training intervention for diabetes management in primary care

Randhawa

Shachak

Courtney

et al. 2019

BMJ Health Care Inform

View full text Add to dashboard Cite

show abstract

“…This study investigated the design and qualitative evaluation of postimplementation EMR video tutorials for diabetes care. Although video tutorials have recently been applied in a few studies to support EHR training for medical students, medical residents, and nursing students, [20][21][22] the design and use of video tutorials to support PCPs or physicians in general has not been widely investigated to date. Further, EMR video tutorials that are informed by the CCM, and are based on clinician-led training and best practices of software video tutorials' design have rarely been examined.…”

Section: Discussionmentioning

confidence: 99%

“…The authors also reported that the video tutorials helped decrease the amount of time needed for EHR staff to orient student clinicians to the EHR. 21 Similarly, Zoghbi et al 22 provided EHR video tutorials to a group of general surgery residents. The study reported statistically significant positive effects of the video tutorials on residents' confidence in carrying out EMR tasks and clinical scores on emergency simulations.…”

Section: Background and Significancementioning

confidence: 99%

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Effective Design, Development, and Evaluation of Video Tutorials for Electronic Medical Record Training

et al. 2020

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Background Electronic medical record (EMR) use by primary care physicians (PCP) in the United States and Canada is suboptimal, especially for supporting chronic diseases like diabetes. PCPs need postimplementation training to achieve value-adding EMR use. Video tutorials demonstrate how to accomplish tasks using software. However, there is a dearth of research on the use of video tutorials for EMR training. Objective The purpose of the study was to design, develop, and evaluate video tutorials for training PCPs in using EMR advanced features for diabetes care. This study addressed three research questions related to PCP's views of video tutorials as an EMR training method/approach, barriers, and facilitators to applying the EMR video tutorials to PCPs' practice, and how the design of EMR video tutorials can be improved. Methods The overall research study employed a QUAN (qual) mixed methods approach with an embedded design. This article focuses on the qualitative phase of the mixed methods study. A series of four theory-informed and evidence-based video tutorials for diabetes care was developed with a physician champion. Qualitative data were collected at four time points: 1 month before (O1), immediately before (O2), 3 months after (O3), and 6 months (O4) after the intervention. Semistructured interviews with participants were held at O3 and O4. Qualitative data were analyzed using thematic analysis. Results In total, 14 PCPs from the overall study participated in interviews (78%). The thematic analysis of the qualitative data revealed seven themes, which fall into two main categories: (1) design and development of EMR video tutorials, and (2) adoption and use of EMR video tutorials. Conclusion PCPs liked the EMR video tutorials for diabetes care, and would like more EMR video tutorials on various topics and EMR use levels. The study offers a roadmap for health informatics professionals everywhere to develop EMR training videos that meet evidence-based design criteria. It also help to identify opportunities to improve the design, delivery, and adoption of EMR video tutorials for future training interventions.

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Education and Training on Electronic Medical Records (EMRs) for health care professionals and students: A Scoping Review

Samadbeik

Fatehi

Braunstein

et al. 2020

International Journal of Medical Informatics

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“How To” Videos Improve Residents Performance of Essential Perioperative Electronic Medical Records and Clinical Tasks

Cited by 13 publications

References 18 publications

Evaluating a post-implementation electronic medical record training intervention for diabetes management in primary care

Evaluating a post-implementation electronic medical record training intervention for diabetes management in primary care

Effective Design, Development, and Evaluation of Video Tutorials for Electronic Medical Record Training

Education and Training on Electronic Medical Records (EMRs) for health care professionals and students: A Scoping Review

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