Courtney A Denton1, Hiral C Soni2, Thomas G Kannampallil3, Anna Serrichio1, Jason S Shapiro4, Stephen J Traub5, Vimla L Patel1,2. 1. Center for Cognitive Studies in Medicine and Public Health, The New York Academy of Medicine, New York, New York, United States. 2. Department of Biomedical Informatics, Arizona State University, Phoenix, Arizona, United States. 3. Department of Family Medicine, University of Illinois at Chicago, Illinois, United States. 4. Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, United States. 5. Department of Emergency Medicine, Mayo Clinic, Phoenix, Arizona, United States.
Abstract
OBJECTIVE: Over the last decade, electronic health records (EHRs) have shaped clinical practice. In this article, we investigated the perceived effects of EHR use on clinical workflow and meaningful use (MU) performance metrics. MATERIALS AND METHODS: Semistructured interviews were conducted with 20 (n = 20) physicians at two urban emergency departments. Interview questions focused on time spent on EHR use, changes in clinical practices with EHR use, and the effect of MU performance metrics on clinical workflow. Qualitative coding using grounded theory and descriptive analyses were performed to provide descriptive insights. RESULTS: Physicians reported that EHRs improved their clinical workflow, especially on MU-related activities including door-to-doctor time and admit decision time. EHR use also affected physicians work efficiency, quality of care provided, and overall patient safety. CONCLUSION: Physicians' perception of EHRs is likely to influence their practices. With negative perceptions of EHR usability problems, positive aspects of EHR use, including the influence on MU performance metrics, may be overridden. Georg Thieme Verlag KG Stuttgart · New York.
OBJECTIVE: Over the last decade, electronic health records (EHRs) have shaped clinical practice. In this article, we investigated the perceived effects of EHR use on clinical workflow and meaningful use (MU) performance metrics. MATERIALS AND METHODS: Semistructured interviews were conducted with 20 (n = 20) physicians at two urban emergency departments. Interview questions focused on time spent on EHR use, changes in clinical practices with EHR use, and the effect of MU performance metrics on clinical workflow. Qualitative coding using grounded theory and descriptive analyses were performed to provide descriptive insights. RESULTS: Physicians reported that EHRs improved their clinical workflow, especially on MU-related activities including door-to-doctor time and admit decision time. EHR use also affected physicians work efficiency, quality of care provided, and overall patient safety. CONCLUSION: Physicians' perception of EHRs is likely to influence their practices. With negative perceptions of EHR usability problems, positive aspects of EHR use, including the influence on MU performance metrics, may be overridden. Georg Thieme Verlag KG Stuttgart · New York.
Authors: Blackford Middleton; Meryl Bloomrosen; Mark A Dente; Bill Hashmat; Ross Koppel; J Marc Overhage; Thomas H Payne; S Trent Rosenbloom; Charlotte Weaver; Jiajie Zhang Journal: J Am Med Inform Assoc Date: 2013-01-25 Impact factor: 4.497
Authors: Srinivas Emani; David Y Ting; Michael Healey; Stuart R Lipsitz; Andrew S Karson; David W Bates Journal: Appl Clin Inform Date: 2017-12-14 Impact factor: 2.342
Authors: Stephen J Traub; Adam C Bartley; Vernon D Smith; Roshanak Didehban; Christopher A Lipinski; Soroush Saghafian Journal: J Emerg Med Date: 2016-01-27 Impact factor: 1.484
Authors: Christine Sinsky; Lacey Colligan; Ling Li; Mirela Prgomet; Sam Reynolds; Lindsey Goeders; Johanna Westbrook; Michael Tutty; George Blike Journal: Ann Intern Med Date: 2016-09-06 Impact factor: 25.391
Authors: Vimla L Patel; Courtney A Denton; Hiral C Soni; Thomas G Kannampallil; Stephen J Traub; Jason S Shapiro Journal: Appl Clin Inform Date: 2021-03-03 Impact factor: 2.342
Authors: Danny T Y Wu; Catherine Xu; Abraham Kim; Shwetha Bindhu; Kenneth E Mah; Mark H Eckman Journal: Appl Clin Inform Date: 2021-07-07 Impact factor: 2.762
Authors: Clemens Scott Kruse; Michael Mileski; Zakia Johnson; Cameron Shaw; Gevin Dray; Harsha Shirodkar Journal: J Med Internet Res Date: 2022-03-31 Impact factor: 7.076