Exploring Training Issues in Healthcare: Towards Identifying Barriers to Increase Electronic Medical Records Adoption by Healthcare Professionals

Patel, Ashwin; Ozok, A. Ant

doi:10.1007/978-3-642-25364-5_47

Cited by 3 publications

(3 citation statements)

References 20 publications

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“…Future research and resource dissemination should focus on these areas, and particularly on translation from the research realm to EHR implementation on the frontlines. • Cost saving strategy through collaboration [25] • Models for risk assessment [32][33][34][35] • Tools to evaluate implementation [36,37] • "Engage end-users" without suggestions of how to do so• Gather user feedback [51] • Actionable CDS recommendations [52] • • Effective customization can be developed by using experts, literature [54] • Customization recommendations via panel of experts [55] • Need experts in workflow [60] • Workflow is key failure theme [59] • Methods for analyzing workflow [61][62][63] • Simulation to test workflow, usability [64][65][66] • Methods for conducting usability evaluations [65,67] • Human factors techniques to identify critical training content [72] • EHR education and training earlier in medical career [73] • Successful use of super users [75] • Challenges [76]…”

Section: Resultsmentioning

confidence: 99%

“…Six articles focused specifically on training and described various aspects of training including training development and timing, and suggested best practices. One article focused on the development of training materials and highlighted the need for human factors techniques, such as task analysis, to identify the critical EHR tasks that should be the focus of training content [72]. One article described informatics and computer skill gaps as a major barrier to EHRs and suggested that EHR training should begin during formal medical education, prior to being a licensed clinician, to combat these barriers [73].…”

Section: Training Findings In the Published Literaturementioning

confidence: 99%

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Mind the Gap

Ratwani¹,

Fairbanks²,

Savage³

et al. 2016

Appl Clin Inform

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SummaryObjective: Decisions made during electronic health record (EHR) implementations profoundly affect usability and safety. This study aims to identify gaps between the current literature and key stakeholders' perceptions of usability and safety practices and the challenges encountered during the implementation of EHRs. Materials and Methods: Two approaches were used: a literature review and interviews with key stakeholders. We performed a systematic review of the literature to identify usability and safety challenges and best practices during implementation. A total of 55 articles were reviewed through searches of PubMed, Web of Science and Scopus. We used a qualitative approach to identify key stakeholders' perceptions; semi-structured interviews were conducted with a diverse set of health IT stakeholders to understand their current practices and challenges related to usability during implementation. We used a grounded theory approach: data were coded, sorted, and emerging themes were identified. Conclusions from both sources of data were compared to identify areas of misalignment. Results: We identified six emerging themes from the literature and stakeholder interviews: cost and resources, risk assessment, governance and consensus building, customization, clinical workflow and usability testing, and training. Across these themes, there were misalignments between the literature and stakeholder perspectives, indicating major gaps. Discussion: Major gaps identified from each of six emerging themes are discussed as critical areas for future research, opportunities for new stakeholder initiatives, and opportunities to better disseminate resources to improve the implementation of EHRs. Conclusion: Our analysis identified practices and challenges across six different emerging themes, illustrated important gaps, and results suggest critical areas for future research and dissemination to improve EHR implementation. Citation: Ratwani R et al.: Review to identify usability and safety challenges and practices during EHR implementation.

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Section: Resultsmentioning

confidence: 99%

Section: Training Findings In the Published Literaturementioning

confidence: 99%

Mind the Gap

Ratwani¹,

Fairbanks²,

Savage³

et al. 2016

Appl Clin Inform

View full text Add to dashboard Cite

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“…3 Different stakeholders have sought to improve the use of EHRs and other health IT in different ways, including continual education or training for healthcare staff. 4–7 However, common health IT challenges such as limitations in EHR design or inadequate health IT implementation decisions may introduce burdens to frontline users that should not be attributed to individual misuse or lack of knowledge 1 and may, instead, require more robust solutions. The range of effective and sustainable safety solutions has been modeled in previous analyses broadly focused on root cause analysis (RCA) system safety solutions.…”

Section: Introductionmentioning

confidence: 99%

Responding to health information technology reported safety events: Insights from patient safety event reports

Adams

Kim

Fong

et al. 2019

Journal of Patient Safety and Risk Management

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Objective: We analyzed the described resolutions of patient safety event reports related to health information technology to determine how healthcare systems responded to these events, recognizing that certain types of solutions such as training and education have a limited impact. Methods: A large database of over 1.7 million patient safety event reports was filtered to include those identified by the reporter as being related to health information technology. The resolution text was manually reviewed and coded into one or more of four categories: No Resolution, Training/Education, Policy, Information Technology-oriented solution. Results: Most events (64%) did not include a resolution. Of those that did, Training/Education was the most commonly reported single or component of a multi-pronged solution (55%), followed by Information Technology (45%). Only 59 events (6% of resolutions) described more than one method of resolution. Conclusion: Health information technology-related patient safety event resolutions most often described a solution that suggested additional training or education for healthcare staff, despite the recognized limitations of training and education in resolving these events. Few events suggested multiple resolution methods. Ensuring health information technology-related events are resolved and incorporate effective solutions should be a continued focus area for healthcare systems.

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An Overview of the Most Recent Advances in Healthcare

Christogianni

2023

Advances in Healthcare Information Systems and Administration

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The volume and complexity of big data in healthcare have created opportunities to develop new analytical tools and methods. Artificial intelligence (AI) is increasingly being used to create new technologies that will transform patient care, administrative and delivery processes, and pharmaceutical treatments. Continuous patient monitoring is now possible for any health condition, including patients with diabetes, Parkinson's, and cardiovascular diseases. AI appears to be promising in terms of effectively saving clinicians' time, improving diagnostic and prognosis procedures, and organising and managing healthcare. However, there are serious concerns about the safety and security of electronic health records and patient information. Therefore, AI software engineers and businesses must address a series of issues, including the validation, reliability, and accuracy of machine learning procedures, the collection of big data via the internet of things, data security, privacy breaches, and encryption.

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Exploring Training Issues in Healthcare: Towards Identifying Barriers to Increase Electronic Medical Records Adoption by Healthcare Professionals

Cited by 3 publications

References 20 publications

Mind the Gap

Mind the Gap

Responding to health information technology reported safety events: Insights from patient safety event reports

An Overview of the Most Recent Advances in Healthcare

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