Examining user satisfaction with single sign-on and computer application roaming within emergency departments

Abstract

In an age where mandatory computer usage within clinical care settings is a non-negotiable term of employment, the amount of applications a provider must access to document care is rapidly increasing. Each application contains an associated username and password. The increasing frequency with which clinicians have to log in and out of different applications is a source of frustration for many healthcare professionals. Healthcare executives see lost productivity. Single sign-on with added computer application roaming capabilities on shared workstations is a viable solution for both the clinician and the organization. The aim of this study is to assess the effect of implementation of single sign-on technology with application roaming on shared workstations. This study focuses on the perception of satisfaction with the implementation of single sign-on technologies within a midsized integrated delivery health network's five emergency departments. We contribute to theory with the following: (1) the development of a construct called facilitated technology interruptions, (2) validation of the construct facilitated technology interruptions, and (3) application of a quantitative method to test the relationship between facilitated technology interruptions and user satisfaction. We surveyed five emergency departments and proposed five hypotheses. We found the positive relationship between facilitated technology interruptions and user satisfaction; the positive relationships between effort expectancy and satisfaction, and effort expectancy and willingness to recommend; and the positive relationship between satisfaction and willingness to recommend. We did not confirm the positive relationship between facilitated technology interruptions and willingness to recommend. We conclude that single sign-on technology increases user satisfaction. Other organizations may use the findings from this study and perform pre-single sign-on versus post-single sign-on evaluations. In practice, single sign-on improved productivity and ensured compliance with the Health Insurance Portability and Accountability Act, minimization of errors, and disruption for critical work.

Implementation of a single sign-on system between practice, research and learning systems

“…Using SSO for clinicians can save 9.51 minutes per day per clinician [26]. Moreover, a previous study assessing the use of SSO on roaming computers in the emergency department improved productivity, ensured HIPAA compliance, improved user satisfaction, and, minimized errors, and disruption of critical work [26]. Our findings are similar, but also expand that multiple configurations in SSO system integration can be used for learning, practice and research systems in healthcare.…”

“…Prior literature has described that clinicians require an average 6.4 passwords per day to access patient data. Using SSO for clinicians can save 9.51 minutes per day per clinician [26]. Moreover, a previous study assessing the use of SSO on roaming computers in the emergency department improved productivity, ensured HIPAA compliance, improved user satisfaction, and, minimized errors, and disruption of critical work [26].…”

Leveraging identity and access management technology to accelerate emergency COVID-19 vaccine delivery

“…[5][6][7] The introduction of SSO technology has been shown to facilitate adoption of key component functionalities of the EHR, including electronic clinical documentation, as well as related clinical applications. [8][9][10][11][12] SSO is a well-established, tested and tried IAM technology capability in wide use in the United States and the United Kingdom, among other nations. For example, the specific vendor SSO solution deployed in this use case, from Imprivata, is currently deployed in 2320 US healthcare facilities and 158 UK hospitals and care delivery organizations.…”

“… 5 – 7 The introduction of SSO technology has been shown to facilitate adoption of key component functionalities of the EHR, including electronic clinical documentation, as well as related clinical applications. 8 – 12…”

Usage Continuance in Software-as-a-Service

“…The required completion of credentials at every login as well as the resulting troubles if these credentials are forgotten can discourage users to log in to the SaaS solution. Hope and Zhang (2015) show, that the implementation of a single sign-on (SSO) mechanism increases the likelihood to use and recommend software. Therefore, the third hypothesis can be formulated as follows.…”