Educational interventions to improve the meaningful use of Electronic Health Records: A review of the literature: BEME Guide No. 29

Goveia, Jermaine; Stiphout, F. van; Cheung, Zing; Kamta, Bharti; Keijsers, Carolina J. P. W.; Valk, Gerlof D.; Braak, Edith ter

doi:10.3109/0142159x.2013.806984

Cited by 31 publications

(45 citation statements)

References 20 publications

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“…Training on the resulting EHR and its use should be interactive and consistent across specialties – and include discussion of the multiple purposes and uses of any information entered, not just the how to of navigating the system (Goveia, Van Stiphout, Cheung, et al, 2013). In addition, regardless of the approach chosen, the computing infrastructure should be recognized as critical to promoting optimal EMR infrastructure.…”

Section: Discussionmentioning

confidence: 99%

Perspectives of healthcare practitioners: An exploration of interprofessional communication using electronic medical records

Bardach

Real

Bardach

2017

Journal of Interprofessional Care

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Contemporary state-of-the-art healthcare facilities are incorporating technology into their building design to improve communication and patient care. However, technological innovations may also have unintended consequences. This study seeks to better understand how technology influences interprofessional communication within a hospital setting based in the United States. Nine focus groups were conducted including a range of healthcare professions. The focus groups explored practitioners’ experiences working on two floors of a newly designed hospital and included questions about the ways in which technology shaped communication with other healthcare professionals. All focus groups were recorded, transcribed, and coded to identify themes. Participant responses focused on the electronic medical record and while some benefits of the electronic medical record were discussed, participants indicated use of the electronic medical record has resulted in a reduction of in-person communication. Different charting approaches resulted in barriers to communication between specialties and reduced confidence that other practitioners had received one’s notes. Limitations in technology - including limited computer availability, documentation complexity, and sluggish sign-in processes - also were identified as barriers to effective and timely communication between practitioners. Given the ways in which technology shapes interprofessional communication, future research should explore how to create standardized electronic medical record use across professions at the optimal level to support communication and patient care.

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Section: Discussionmentioning

confidence: 99%

Perspectives of healthcare practitioners: An exploration of interprofessional communication using electronic medical records

Bardach

Real

Bardach

2017

Journal of Interprofessional Care

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“…It outlined three components that represent "meaningful use" of an EHR: 1) use of a certifi ed EHR; 2) electronic exchange of health information to improve quality; and 3) submission of quality and other measures (1). Th e reported advantages of an EHR include reduction of errors, increased ability to communicate between providers, and facilitation of quality improvement projects (2)(3)(4).…”

mentioning

confidence: 99%

Surgeons' Perspective of a Newly Initiated Electronic Medical Record

Frazee

Harmon

Papaconstantinou

2016

Baylor University Medical Center Proceedings

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“…This instruction was provided by a trained instructor according to the teaching manual for medical personnel. This training comprised all of the elements suggested by Goveia et al [45], including classroom training, computer-based training, and feedback.…”

Section: Participants and Settingmentioning

confidence: 99%

Electronic charts do not facilitate the recognition of patient hazards by advanced medical students: A randomized controlled study

et al. 2020

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Chart review is an important tool to identify patient hazards. Most advanced medical students perform poorly during chart review but can learn how to identify patient hazards context-independently. Many hospitals have implemented electronic health records, which enhance patient safety but also pose challenges. We investigated whether electronic charts impair advanced medical students' recognition of patient hazards compared with traditional paper charts. Fifth-year medical students were randomized into two equal groups. Both groups attended a lecture on patient hazards and a training session on handling electronic health records. One group reviewed an electronic chart with 12 standardized patient hazards and then reviewed another case in a paper chart; the other group reviewed the charts in reverse order. The two case scenarios (diabetes and gastrointestinal bleeding) were used as the first and second case equally often. After each case, the students were briefed about the patient safety hazards. In total, 78.5% of the students handed in their notes for evaluation. Two blinded raters independently assessed the number of patient hazards addressed in the students' notes. For the diabetes case, the students identified a median of 4.0 hazards [25%-75% quantiles (Q25-Q75): 2.0-5.5] in the electronic chart and 5.0 hazards (Q25-Q75: 3.0-6.75) in the paper chart (equivalence testing, p = 0.005). For the gastrointestinal bleeding case, the students identified a median of 5.0 hazards (Q25-Q75: 4.0-6.0) in the electronic chart and 5.0 hazards (Q25-Q75: 3.0-6.0) in the paper chart (equivalence testing, p < 0.001). We detected no improvement between the first case [median 5.0 (Q25-Q75: 3.0-6.0)] and second case [median, 5.0 (Q25-Q75: 3.0-6.0); p < 0.001, test for equivalence]. Electronic charts do not seem to facilitate advanced medical students' recognition of patient hazards during chart review and may impair expertise formation.

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Educational interventions to improve the meaningful use of Electronic Health Records: A review of the literature: BEME Guide No. 29

Cited by 31 publications

References 20 publications

Perspectives of healthcare practitioners: An exploration of interprofessional communication using electronic medical records

Perspectives of healthcare practitioners: An exploration of interprofessional communication using electronic medical records

Surgeons' Perspective of a Newly Initiated Electronic Medical Record

Electronic charts do not facilitate the recognition of patient hazards by advanced medical students: A randomized controlled study

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