Abstract:Objectives Poor electronic health record (EHR) usability is associated with patient safety concerns, user dissatisfaction, and provider burnout. EHR certification requires vendors to perform user testing. However, there are no such requirements for site-specific implementations. Health care organizations customize EHR implementations, potentially introducing usability problems. Site-specific usability evaluations may help to identify these concerns, and “discount” usability methods afford health systems a mean… Show more
“…37 There are challenges in improving the usability of commercial systems because options are limited for the institution by the structure of the EHR, and customizations and implementation configurations can have an impact on the usability of the system. 38 Regardless, there still appears to be several usability concerns that need to be addressed by the vendors in partnership with their users. 39 It is clear that we need to continue to improve EHRs so they function better for clinicians, 40 and doing this is likely to require more than minor incremental improvements.…”
Objectives We assessed how clinician satisfaction with a vendor electronic health record (EHR) changed over time in the 4 years following the transition from a homegrown EHR system to identify areas for improvement.
Methods We conducted a multiyear survey of clinicians across a large health care system after transitioning to a vendor EHR. Eligible clinicians from the first institution to transition received a survey invitation by email in fall 2016 and then eligible clinicians systemwide received surveys in spring 2018 and spring 2019. The survey included items assessing ease/difficulty of completing tasks and items assessing perceptions of the EHR's value, usability, and impact. One item assessing overall satisfaction and one open-ended question were included. Frequencies and means were calculated, and comparison of means was performed between 2018 and 2019 on all clinicians. A multivariable generalized linear model was performed to predict the outcome of overall satisfaction.
Results Response rates for the surveys ranged from 14 to 19%. The mean response from 3 years of surveys for one institution, Brigham and Women's Hospital, increased for overall satisfaction between 2016 (2.85), 2018 (3.01), and 2019 (3.21, p < 0.001). We found no significant differences in mean response for overall satisfaction between all responders of the 2018 survey (3.14) and those of the 2019 survey (3.19). Systemwide, tasks rated the most difficult included “Monitoring patient medication adherence,” “Identifying when a referral has not been completed,” and “Making a list of patients based on clinical information (e.g., problem, medication).” Clinicians disagreed the most with “The EHR helps me focus on patient care rather than the computer” and “The EHR allows me to complete tasks efficiently.”
Conclusion Survey results indicate room for improvement in clinician satisfaction with the EHR. Usability of EHRs should continue to be an area of focus to ease clinician burden and improve clinician experience.
“…37 There are challenges in improving the usability of commercial systems because options are limited for the institution by the structure of the EHR, and customizations and implementation configurations can have an impact on the usability of the system. 38 Regardless, there still appears to be several usability concerns that need to be addressed by the vendors in partnership with their users. 39 It is clear that we need to continue to improve EHRs so they function better for clinicians, 40 and doing this is likely to require more than minor incremental improvements.…”
Objectives We assessed how clinician satisfaction with a vendor electronic health record (EHR) changed over time in the 4 years following the transition from a homegrown EHR system to identify areas for improvement.
Methods We conducted a multiyear survey of clinicians across a large health care system after transitioning to a vendor EHR. Eligible clinicians from the first institution to transition received a survey invitation by email in fall 2016 and then eligible clinicians systemwide received surveys in spring 2018 and spring 2019. The survey included items assessing ease/difficulty of completing tasks and items assessing perceptions of the EHR's value, usability, and impact. One item assessing overall satisfaction and one open-ended question were included. Frequencies and means were calculated, and comparison of means was performed between 2018 and 2019 on all clinicians. A multivariable generalized linear model was performed to predict the outcome of overall satisfaction.
Results Response rates for the surveys ranged from 14 to 19%. The mean response from 3 years of surveys for one institution, Brigham and Women's Hospital, increased for overall satisfaction between 2016 (2.85), 2018 (3.01), and 2019 (3.21, p < 0.001). We found no significant differences in mean response for overall satisfaction between all responders of the 2018 survey (3.14) and those of the 2019 survey (3.19). Systemwide, tasks rated the most difficult included “Monitoring patient medication adherence,” “Identifying when a referral has not been completed,” and “Making a list of patients based on clinical information (e.g., problem, medication).” Clinicians disagreed the most with “The EHR helps me focus on patient care rather than the computer” and “The EHR allows me to complete tasks efficiently.”
Conclusion Survey results indicate room for improvement in clinician satisfaction with the EHR. Usability of EHRs should continue to be an area of focus to ease clinician burden and improve clinician experience.
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