Impact of simulation training on self-efficacy of outpatient health care providers to use electronic health records

Vuk, Jasna; Anders, Michael; Mercado, Cynthia Calkins; Kennedy, Robert L.; Casella, Jessie; Steelman, Susan

doi:10.1016/j.ijmedinf.2015.02.003

Cited by 36 publications

(22 citation statements)

References 9 publications

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“…Comparing pre-and posttraining surveys, they demonstrated improvements in self-assessed efficiency. 5 Vuk and colleagues demonstrated improved self-efficacy assessed before and after simulation training, 10 which differed from our self-efficacy results. Jalota and colleagues conducted a real-time peer training intervention with physi-cians already experienced in their EHR and showed improved documentation efficiency over the control group.…”

Section: Discussioncontrasting

confidence: 87%

“…8,9 Several studies suggest that enhanced EHR training positively impacts EHR adoption, efficiency, and patient care. 5,10 Enhanced EHR training has been investigated for large groups of residents across multiple specialties 4,11,12 and medical students, 13,14 but objective measurement of these interventions is absent or in early phases of exploration. 11,15,16 Most published literature on this topic only utilizes self-assessment methods.…”

Section: Background and Significancementioning

confidence: 99%

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A New EHR Training Curriculum and Assessment for Pediatric Residents

Stroup¹,

Sanders²,

Bernstein³

et al. 2017

Appl Clin Inform

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Background Conventional classroom Electronic Health Record (EHR) training is often insufficient for new EHR users. Studies suggest that enhanced training with a hands-on approach and closely supported clinical use is beneficial. Objectives Our goals were to develop an enhanced EHR learning curriculum for Post Graduate Year 1 (PGY1) residents and measure changes in EHR skill proficiency, efficiency, and self-efficacy. Methods A novel three-phase, multimodal enhanced EHR curriculum was designed for a cohort of PGY1 residents. After basic training, residents began phase 1 of enhanced training, including demonstrations, live practice, and order set review. Phase 2 involved skills-oriented assignments, role playing, and medication entry. Phase 3 included shadowing, scribing histories, and supervised order entry. Residents' EHR skills and attitudes were measured and compared before and after the enhanced curriculum via proficiency test and a survey of efficiency and self-efficacy. Results Nineteen of 26 PGY1 residents participated in the study (73%). There was significant improvement in mean proficiency scores and two of the five individual proficiency scores. There were significant improvements in most efficiency survey responses from pre- to postintervention. For the self-efficacy presurvey, many PGY1s reported to be “very” or “somewhat confident” performing each of the five tasks, and perceptions did not improve or worsened on most postsurvey responses. The greatest resource was the time required to design and deliver the enhanced training. Conclusion An enhanced training curriculum along with a proficiency assessment was developed and described here. An enhanced training curriculum significantly improved PGY1 EHR efficiency and some measures of proficiency but not self-efficacy. This intervention may support improved EHR-related clinic workflows, which ultimately could enable residents and preceptors to prioritize patient care and time for clinical education.

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Section: Discussioncontrasting

confidence: 87%

Section: Background and Significancementioning

confidence: 99%

A New EHR Training Curriculum and Assessment for Pediatric Residents

Stroup¹,

Sanders²,

Bernstein³

et al. 2017

Appl Clin Inform

View full text Add to dashboard Cite

show abstract

“…Likewise, medical simulation centers have been integrated into EHRs which provide realistic environments for usability testing, training, and evaluation of human-computer interactions [159]. A major role of simulation training is also to test the efficacy and safety of EHR-user interfaces, identify implementation gaps, and improve their safety [160][161][162].…”

Section: Addressing Hurdles To Optimal Use Of the Ehrmentioning

confidence: 99%

Electronic Health Records: Then, Now, and in the Future

2016

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The current use of EHRs initiated by new technology would have been hard to foresee. Current and new EHR technology will help to provide international standards for interoperable applications that use health, social, economic, behavioral, and environmental data to communicate, interpret, and act intelligently upon complex healthcare information to foster precision medicine and a learning health system.

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“…This data collection checklist will capture the following quantitative data during each participant's medication administration return-demonstration using the SMART eMAR: (1) frequency of deviations from medication administration best-practices; (2) number of actual medication errors or near misses generated by the student, that violate the various medication best practices and provincial regulatory requirements related to medication administration [30,31]; and (3) overall duration of time required by the student to complete the entire medication administration simulated scenario. Secondary outcomes using pre-post survey data related to medication self-efficacy and knowledge will be collected using questions modified from previously developed and tested instruments [32,33]. Secondary outcome cross-sectional data will also be collected using questions modified from the Huang et al [34] validated instrument that measures motivational (ie, attention, relevance, confidence, satisfaction) and cognitive processing of learning in technology-enabled environments (20 questions, Cronbach's alpha = 0.91).…”

Section: Discussionmentioning

confidence: 99%