Impact of Longitudinal Electronic Health Record Training for Residents Preparing for Practice in Patient-Centered Medical Homes

Kim, Jung G.; Rodríguez, Hector P.; Estlin, Katherine At; Morris, Carl G.

doi:10.7812/tpp/16-122

Cited by 13 publications

(4 citation statements)

References 26 publications

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“…This finding was consistent with a qualitative study conducted in two London‐based hospitals, in which it was reported that the lack of basic typing skills was one of the factors that contributed to workarounds to the EHR in mental health hospitals . Previous studies have shown that training improves the self‐assessment of competency in the use of the EHR system . Hence, in addition to high‐quality and continuous HIS training, it is highly recommended that health care organizations provide training in typing skills, especially to senior doctors, in an effort to improve their proficiency in using the HIS.…”

Section: Discussionsupporting

confidence: 85%

Exploring the contributing factors to workarounds to the hospital information system in Malaysian hospitals

Salahuddin

Ismail

Ghani

et al. 2019

Evaluation Clinical Practice

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Objectives: The objective of this study was to identify the factors influencing workarounds to the Hospital Information System (HIS) in Malaysian government hospitals. Methods: Semi-structured interviews were conducted among 31 medical doctors in three Malaysian government hospitals on the implementation of the Total Hospital Information System (THIS) between March and May 2015. A thematic qualitative analysis was performed on the resultant data to deduce the relevant themes. Results: Five themes emerged as the factors influencing workarounds to the HIS: (a) typing skills, (b) system usability, (c) computer resources, (d) workload, and (e) time. Conclusions: This study provided the key factors as to why doctors were involved in workarounds during the implementation of the HIS. It is important to understand these factors in order to help mitigate work practices that can pose a threat to patient safety.

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Section: Discussionsupporting

confidence: 85%

Exploring the contributing factors to workarounds to the hospital information system in Malaysian hospitals

Salahuddin

Ismail

Ghani

et al. 2019

Evaluation Clinical Practice

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“…EHR training is often provided in a limited number of sessions as an onboarding component. However, advanced longitudinal training and support of clinical staff improves self-assessment of competency [48,49].…”

Section: Recommendationsmentioning

confidence: 99%

Care-Centered Clinical Documentation in the Digital Environment: Solutions to Alleviate Burnout

Ommaya¹,

Cipriano²,

Hoyt³

et al. 2018

NAM Perspectives

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“…Known barriers and facilitators to HIT adoption, in general, may also be impactful for HIT targeting cancer screening. For example, evidence indicates that barriers to HIT use include inadequate training for care teams on using EHR functions to their full potential [ 55 - 58 ]. Thus, effective implementation strategies for HIT targeting cancer prevention may involve training.…”

Section: Discussionmentioning

confidence: 99%

Implementation of Health IT for Cancer Screening in US Primary Care: Scoping Review

Owens-Jasey,

Chen,

et al. 2024

JMIR Cancer

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Background A substantial percentage of the US population is not up to date on guideline-recommended cancer screenings. Identifying interventions that effectively improve screening rates would enhance the delivery of such screening. Interventions involving health IT (HIT) show promise, but much remains unknown about how HIT is optimized to support cancer screening in primary care. Objective This scoping review aims to identify (1) HIT-based interventions that effectively support guideline concordance in breast, cervical, and colorectal cancer screening provision and follow-up in the primary care setting and (2) barriers or facilitators to the implementation of effective HIT in this setting. Methods Following scoping review guidelines, we searched MEDLINE, CINAHL Plus, Web of Science, and IEEE Xplore databases for US-based studies from 2015 to 2021 that featured HIT targeting breast, colorectal, and cervical cancer screening in primary care. Studies were dual screened using a review criteria checklist. Data extraction was guided by the following implementation science frameworks: the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework; the Expert Recommendations for Implementing Change taxonomy; and implementation strategy reporting domains. It was also guided by the Integrated Technology Implementation Model that incorporates theories of both implementation science and technology adoption. Reporting was guided by PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews). Results A total of 101 studies met the inclusion criteria. Most studies (85/101, 84.2%) involved electronic health record–based HIT interventions. The most common HIT function was clinical decision support, primarily used for panel management or at the point of care. Most studies related to HIT targeting colorectal cancer screening (83/101, 82.2%), followed by studies related to breast cancer screening (28/101, 27.7%), and cervical cancer screening (19/101, 18.8%). Improvements in cancer screening were associated with HIT-based interventions in most studies (36/54, 67% of colorectal cancer–relevant studies; 9/14, 64% of breast cancer–relevant studies; and 7/10, 70% of cervical cancer–relevant studies). Most studies (79/101, 78.2%) reported on the reach of certain interventions, while 17.8% (18/101) of the included studies reported on the adoption or maintenance. Reported barriers and facilitators to HIT adoption primarily related to inner context factors of primary care settings (eg, staffing and organizational policies that support or hinder HIT adoption). Implementation strategies for HIT adoption were reported in 23.8% (24/101) of the included studies. Conclusions There are substantial evidence gaps regarding the effectiveness of HIT-based interventions, especially those targeting guideline-concordant breast and colorectal cancer screening in primary care. Even less is known about how to enhance the adoption of technologies that have been proven effective in supporting breast, colorectal, or cervical cancer screening. Research is needed to ensure that the potential benefits of effective HIT-based interventions equitably reach diverse primary care populations.

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Impact of Longitudinal Electronic Health Record Training for Residents Preparing for Practice in Patient-Centered Medical Homes

Cited by 13 publications

References 26 publications

Exploring the contributing factors to workarounds to the hospital information system in Malaysian hospitals

Exploring the contributing factors to workarounds to the hospital information system in Malaysian hospitals

Care-Centered Clinical Documentation in the Digital Environment: Solutions to Alleviate Burnout

Implementation of Health IT for Cancer Screening in US Primary Care: Scoping Review

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