scholarly journals New Integrated Model Approach to Understand the Factors That Drive Electronic Health Record Portal Adoption: Cross-Sectional National Survey

10.2196/11032 ◽  
2018 ◽  
Vol 20 (11) ◽  
pp. e11032 ◽  
Author(s):  
Jorge Tavares ◽  
Tiago Oliveira
Keyword(s):  
Electronic Health Record ◽  
National Survey ◽  
Integrated Model ◽  
Health Record ◽  
Cross Sectional ◽  
Electronic Health ◽  
Model Approach

scholarly journals Electronic Health Record Acceptance by Physicians: A Single Hospital Experience in Daily Practice

2021 ◽  
Vol 1 (1) ◽  
pp. 6-17
Author(s):  
Andrija Pavlovic ◽  
Nina Rajovic ◽  
Jasmina Pavlovic Stojanovic ◽  
Debora Akinyombo ◽  
Milica Ugljesic ◽  
...  
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Electronic Health Record ◽  
Technology Acceptance ◽  
Daily Practice ◽  
Ease Of Use ◽  
Future Research ◽  
Health Record ◽  
Cross Sectional ◽  
Electronic Health

Introduction: Potential benefits of implementing an electronic health record (EHR) to increase the efficiency of health services and improve the quality of health care are often obstructed by the unwillingness of the users themselves to accept and use the available systems. Aim: The aim of this study was to identify factors that influence the acceptance of the use of an EHR by physicians in the daily practice of hospital health care. Material and Methods: The cross-sectional study was conducted among physicians in the General Hospital Pancevo, Serbia. An anonymous questionnaire, developed according to the technology acceptance model (TAM), was used for the assessment of EHR acceptance. The response rate was 91%. Internal consistency was assessed by Cronbach’s alpha coefficient. A logistic regression analysis was used to identify the factors influencing the acceptance of the use of EHR. Results: The study population included 156 physicians. The mean age was 46.4 ± 10.4 years, 58.8% participants were female. Half of the respondents (50.1%) supported the use of EHR in comparison to paper patient records. In multivariate logistic regression modeling of social and technical factors, ease of use, usefulness, and attitudes towards use of EHR as determinants of the EHR acceptance, the following predictors were identified: use of a computer outside of the office for reading daily newspapers (p = 0.005), EHR providing a greater amount of valuable information (p = 0.007), improvement in the productivity by EHR use (p < 0.001), and a statement that using EHR is a good idea (p = 0.014). Overall the percentage of correct classifications in the model was 83.9%. Conclusion: In this research, determinants of the EHR acceptance were assessed in accordance with the TAM, providing an overall good model fit. Future research should attempt to add other constructs to the TAM in order to fully identify all determinants of physician acceptance of EHR in the complex environment of different health systems.

scholarly journals Use of Electronic Health Record Tools to Facilitate and Audit Infliximab Prescribing

2018 ◽  
Vol 23 (1) ◽  
pp. 18-25
Author(s):  
Bethany R. Sharpless ◽  
Fernando del Rosario ◽  
Zarela Molle-Rios ◽  
Elora Hilmas
Keyword(s):  
Literature Review ◽  
Electronic Health Record ◽  
National Survey ◽  
Free Text ◽  
Health Record ◽  
Order Information ◽  
Text Data ◽  
Review Analysis ◽  
Electronic Health ◽  
Implementation Data

OBJECTIVES The objective of this project was to assess a pediatric institution's use of infliximab and develop and evaluate electronic health record tools to improve safety and efficiency of infliximab ordering through auditing and improved communication. METHODS Best use of infliximab was defined through a literature review, analysis of baseline use of infliximab at our institution, and distribution and analysis of a national survey. Auditing and order communication were optimized through implementation of mandatory indications in the infliximab orderable and creation of an interactive flowsheet that collects discrete and free-text data. The value of the implemented electronic health record tools was assessed at the conclusion of the project. RESULTS Baseline analysis determined that 93.8% of orders were dosed appropriately according to the findings of a literature review. After implementation of the flowsheet and indications, the time to perform an audit of use was reduced from 60 minutes to 5 minutes per month. Four months post implementation, data were entered by 60% of the pediatric gastroenterologists at our institution on 15.3% of all encounters for infliximab. Users were surveyed on the value of the tools, with 100% planning to continue using the workflow, and 82% stating the tools frequently improve the efficiency and safety of infliximab prescribing. CONCLUSIONS Creation of a standard workflow by using an interactive flowsheet has improved auditing ability and facilitated the communication of important order information surrounding infliximab. Providers and pharmacists feel these tools improve the safety and efficiency of infliximab ordering, and auditing data reveal that the tools are being used.

Addressing Burnout Syndrome From a Critical Care Specialty Organization Perspective

2020 ◽  
Vol 31 (2) ◽  
pp. 158-166
Author(s):  
Kathryn L. Cochran ◽  
Kathleen Doo ◽  
Allison Squires ◽  
Tina Shah ◽  
Seppo Rinne ◽  
...  
Keyword(s):  
Health Care ◽  
Electronic Health Record ◽  
High Stress ◽  
Well Being ◽  
American Thoracic Society ◽  
Burnout Syndrome ◽  
Health Record ◽  
Cross Sectional ◽  
Electronic Health ◽  
At Home

Background: Health care specialty organizations are an important resource for their membership; however, it is not clear how specialty societies should approach combating stress and burnout on an organizational scale. Objective: To understand the prevalence of burnout syndrome in American Thoracic Society members, identify specialty-specific risk factors, and generate strategies for health care societies to combat burnout. Methods: Cross-sectional, mixed-methods survey in a sample of 2018 American Thoracic Society International Conference attendees to assess levels of burnout syndrome, work satisfaction, and stress. Results: Of the 130 respondents, 69% reported high stress, 38% met burnout criteria, and 20% confirmed chaotic work environments. Significant associations included sex and stress level; clinical time and at-home electronic health record work; and US practice and at-home electronic health record work. There were no significant associations between burnout syndrome and the selected demographics. Participants indicated patient care as the most meaningful aspect of work, whereas the highest contributors to burnout were workload and electronic health record documentation. Importantly, most respondents were unaware of available resources for burnout. Conclusions: Health care specialty societies have access to each level of the health system, creating an opportunity to monitor trends, disseminate resources, and influence the direction of efforts to reduce workplace stress and enhance clinician well-being.

scholarly journals Attitude of physiotherapists toward electronic health record in Croatia

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Manuela Filipec ◽  
Gordana Brumini
Keyword(s):  
Health Care ◽  
Electronic Health Record ◽  
Health Record ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Level Of Education ◽  
Health Care Institutions ◽  
Chi Square Test ◽  
Electronic Health

Abstract Background Electronic health record can facilitate everyday clinical practice of physiotherapists. The aim of this study is to determine attitude of physiotherapists towards implementation of information technology in their work and the differences in attitude in relation to gender, age, level of education and type of health institutions. Methods This study is a cross-sectional survey of Croatian physiotherapists. The questionnaire ″Attitude of physiotherapists towards implementation of electronic health record included 12 items scored on a Likert-type scale from 1 to 5 and presented the award values as “Disagree”, “Neither agree nor disagree” and “Agree”. Croatian physiotherapists were (n = 267) recruited from 13 health care institutions. For analysis chi square test, t-test, one-way analysis of variance and as a post-hoc Tukey test were used. Results Explanatory factorial analysis confirmed two factors: Satisfaction in the work of physiotherapists using computers (SAT) and Necessity of computers in the work of physiotherapists (NEC). Most physiotherapists agree on (SAT) (47.9%) and on (NEC) (51.3%). Male physiotherapists were significantly more likely to disagree with statements related to SAT (p < 0.001) and NEC (p = 0.035) than female physiotherapists. Physiotherapists aged between 46 and 55 years were significantly more like to disagree on NEC in comparison to all the other groups of participants (p < 0.001). Physiotherapists with secondary school degree were significantly more like to disagree on NEC as compared with participants with bachelor’s degree (p = 0.009), as well as in comparison with physiotherapists with a university degree (p = 0.002). Most of the physiotherapists who are employed in Clinical hospitals and in the Speciality hospital agree with that statement (all p > 0.05). Conclusion The attitude of Croatian physiotherapists towards electronic health record differs according to the age, gender, level of education and type of health care institutions. This finding can facilitate implementation of electronic health record in physiotherapy. Trial registration Not applicable.

scholarly journals Surabaya City Health Office’s Readiness In Facing ‘EHR' Era Through Doq-It

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Lilis Masyfufah ◽  
Sendy A. M. Uktutias
Keyword(s):  
Electronic Health Record ◽  
Assessment Tool ◽  
Organizational Capacity ◽  
City Government ◽  
Health Record ◽  
Cross Sectional ◽  
Civil Registration ◽  
Electronic Health ◽  
Data Collection Technique ◽  
The City

Background: E-Health is an innovation created by the City Government of Surabaya in the realm of health services. E-Health integrates data between Puskesmas (Public Health Center), Hospitals, Dispendukcapil (the Department of Population and Civil Registration), and the City Health Office of Surabaya. E-Health is the latest health service program prior to the Electronic Health Record (EHR). An assessment on its readiness is important and necessary. One way to realize the readiness for implementing the Electronic Health Record (EHR) is by using the EHR Assessment and Readiness Starter Assessment tool by the Doctor's Office Quality - Information Technology (DOQ-IT). This research will analyze the readiness of the Surabaya City Health Office in applying e-Health in order to implement the Electronic Health Record (EHR).Methods: This research is a quantitative-descriptive type of research with cross sectional design. The main subject is the Surabaya City Health Office, and the data collection technique used is interviews. The data are processed through coding and calculating the respondent's answer to be then categorized.Results: The indicators in this research are Organizational Alignment and Organizational Capacity. The results show that the City Health Office and Puskesmas are strong enough to face the challenges of developing the Electronic Health Record (EHR), which is in range III. This indicates their readiness in facing changes towards the Electronic Health Record (EHR) and denotes its success. The indicator smallest value lies in the section of coordination with all related parties which is less optimal.Conclusions: Surabaya City Health Office is ready to implement the Electronic Health Record (EHR). The involvement of all components becomes the key to success towards a more innovative change in Electronic Health Record (EHR).

scholarly journals Enhanced Screening and Research Data Collection via Automated EHR Data Capture and Early Identification of Sepsis

2019 ◽  
Vol 5 ◽  
pp. 237796081985097
Author(s):  
Reba Umberger ◽  
Chayawat “Yo” Indranoi ◽  
Melanie Simpson ◽  
Rose Jensen ◽  
James Shamiyeh ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Data Extraction ◽  
Future Research ◽  
Health Record ◽  
Electronic Health Record Data ◽  
Cross Sectional ◽  
Apply Research ◽  
Record Data ◽  
Electronic Health ◽  
Research Criteria

Clinical research in sepsis patients often requires gathering large amounts of longitudinal information. The electronic health record can be used to identify patients with sepsis, improve participant study recruitment, and extract data. The process of extracting data in a reliable and usable format is challenging, despite standard programming language. The aims of this project were to explore infrastructures for capturing electronic health record data and to apply criteria for identifying patients with sepsis. We conducted a prospective feasibility study to locate and capture/abstract electronic health record data for future sepsis studies. We located parameters as displayed to providers within the system and then captured data transmitted in Health Level Seven® interfaces between electronic health record systems into a prototype database. We evaluated our ability to successfully identify patients admitted with sepsis in the target intensive care unit (ICU) at two cross-sectional time points and then over a 2-month period. A majority of the selected parameters were accessible using an iterative process to locate and abstract them to the prototype database. We successfully identified patients admitted to a 20-bed ICU with sepsis using four data interfaces. Retrospectively applying similar criteria to data captured for 319 patients admitted to ICU over a 2-month period was less sensitive in identifying patients admitted directly to the ICU with sepsis. Classification into three admission categories (sepsis, no-sepsis, and other) was fair (Kappa .39) when compared with manual chart review. This project confirms reported barriers in data extraction. Data can be abstracted for future research, although more work is needed to refine and create customizable reports. We recommend that researchers engage their information technology department to electronically apply research criteria for improved research screening at the point of ICU admission. Using clinical electronic health records data to classify patients with sepsis over time is complex and challenging.

scholarly journals Evaluation of the electronic health record system in maternal and child health centers of Marie Stopes International Ethiopia

2019 ◽  
Vol 3 ◽  
pp. 1655
Author(s):  
Tizita Gizaw ◽  
Mengistu Bogale ◽  
Tilahun Alemayehu
Keyword(s):  
Child Health ◽  
Electronic Health Record ◽  
Health Information ◽  
Maternal And Child Health ◽  
Care Delivery ◽  
Health Record ◽  
Record System ◽  
Cross Sectional ◽  
Electronic Health ◽  
And Child Health

Background: The Health Information Management Systems Society (HIMSS) defines an Electronic Health Record (EHR) as a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting”. EHR systems improve quality and adaptability of care, contributing to patient safety. The system is also efficient and provides real-time administration to patients. Driven by the need to facilitate clinical and administrative process, and to reduce medical errors, Marie Stopes international Ethiopia (MSIE) implemented EHR system in its maternal and child health (MCH) centers. This study sought to evaluate the EHR system in six departments (inpatient, outpatient, pharmacy, laboratory, reception cashiers and MCH managers) of these MCH centers in terms of ease of performing tasks and satisfaction with the system. Methods: A cross-sectional method with formative evaluation was used to address the objective. A sample size of 54 were used for the investigation. The participants were from six departments (inpatient, outpatient, pharmacy, laboratory, reception cashiers and MCH managers) within three MCH centers. Data was collected using structured, self-administered questionnaires and interviews and analyzed using SPSS 20. Results: In total, 83% of respondents found that performing tasks using EHR made tasks easier; the lowest score was from Pharmacy department (48%). The overall satisfaction with EHR was 87%. The lowest score is from the indicator “the system meets my needs” (80%). Conclusions: Staffs in all department reported the EHR system as “very good” for both ease of performing their daily tasks and satisfaction with the system. In addition, the study revealed that ease of performing tasks and satisfaction with the system were varied by department and specific task within the department. It is essential to know the needs and requirements of each department before implementation of the system and user feedback for long lasting uptake and impact.

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