scholarly journals Understanding the Situated Roles of Electronic Medical Record Systems to Enable Redesign: Mixed Methods Study

10.2196/13812 ◽  
2019 ◽  
Vol 6 (3) ◽  
pp. e13812 ◽  
Author(s):  
Samar Helou ◽  
Victoria Abou-Khalil ◽  
Goshiro Yamamoto ◽  
Eiji Kondoh ◽  
Hiroshi Tamura ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Mixed Methods Study ◽  
Electronic Medical Record Systems

A mixed-methods study of pharmacy instructors' early experiences with a teaching electronic medical record

2021 ◽  
Author(s):  
Omolola A. Adeoye-Olatunde ◽  
Olga O. Vlashyn ◽  
Kimberly S. Illingworth Plake ◽  
Jamie L. Woodyard ◽  
Zachary A. Weber ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Mixed Methods Study ◽  
Early Experiences

scholarly journals Patient Perceptions of Electronic Medical Record Use by Faculty and Resident Physicians: A Mixed Methods Study

2016 ◽  
Vol 31 (11) ◽  
pp. 1315-1322 ◽  
Author(s):  
Wei Wei Lee ◽  
Maria A. Alkureishi ◽  
Obioma Ukabiala ◽  
Laura Ruth Venable ◽  
Samantha S. Ngooi ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Patient Perceptions ◽  
Mixed Methods Study ◽  
Resident Physicians

scholarly journals Nurse Motivation, Engagement and Well-Being before an Electronic Medical Record System Implementation: A Mixed Methods Study

2021 ◽  
Vol 18 (5) ◽  
pp. 2726
Author(s):  
Rebecca M. Jedwab ◽  
Alison M. Hutchinson ◽  
Elizabeth Manias ◽  
Rafael A. Calvo ◽  
Naomi Dobroff ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Well Being ◽  
Electronic Medical Record System ◽  
Mixed Methods Study ◽  
Healthcare Organisation ◽  
Negative Consequences ◽  
Record System ◽  
Medical Record System

Implementation of an electronic medical record (EMR) is a significant workplace event for nurses in hospitals. Understanding nurses’ key concerns can inform EMR implementation and ongoing optimisation strategies to increase the likelihood of nurses remaining in the nursing workforce. This concurrent mixed-methods study included surveys from 540 nurses (response rate 15.5%), and interviews with 63 nurses to examine their perceptions of using a new EMR prior to implementation at a single healthcare organisation. Survey findings revealed 32.2% (n = 174) of nurses reported low well-being scores and 28.7% (n = 155) were experiencing burnout symptoms. In contrast, 40.3% (n = 216) of nurses reported high work satisfaction, 62.3% (n = 334) had high intentions of staying in their role, and 34.3% (n = 185) were engaged in their work. Nearly half (n = 250, 46.3%) reported intrinsic motivation towards EMR use. Thematic analysis of focus group interviews revealed two themes, each with three subthemes: (1) Us and Them, detailed the juxtaposition between nurses’ professional role and anticipated changes imposed on them and their work with the EMR implementation; and (2) Stuck in the middle, revealed nurses’ expectations and anticipations about how the EMR may affect the quality of nurse-patient relationships. In conclusion, anticipation of the EMR implementation emerged as a stressor for nursing staff, with some groups of nurses particularly vulnerable to negative consequences to their well-being.

Virtuelle Medizin in der Behandlung von Sucht in den USA, Kanada und darüber hinaus

Suchttherapie ◽  
2020 ◽  
Vol 21 (04) ◽  
pp. 189-193
Author(s):  
R. Michael Krausz ◽  
Farhud Shams ◽  
Maurice Cabanis
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Electronic Medical Record Systems

ZusammenfassungInsbesondere während der aktuellen Corona-Pandemie hat der Gebrauch virtueller Lösungen in der Medizin international stark zugenommen. Es gibt eine zunehmende Akzeptanz gerade auch in dem Bereich der hausärztlichen Versorgung, der Behandlung psychischer Störungen und der Abhängigkeitserkrankungen.Die Entwicklung ist international unterschiedlich, v. a, wenn man die USA und Kanada auf der einen Seite und Europa, insbesondere Deutschland, andererseits vergleicht. In Nordamerika hat bei dem Einsatz von moderner Technologie die Einführung von „Electronic Medical Record Systems“ eine dominierende Rolle gespielt. Diese ist insbesondere auf Abrechnung und Dokumentation zu Versicherungszwecken fokussiert. Daneben gibt es zunehmend Apps, die spezifische therapeutische Ansätze zu implementieren helfen. Die Anwendung virtueller Ansätze im Suchtbereich ist begrenzt, aber in Teilen sehr innovativ und auf deutsche Verhältnisse anwendbar. Wie in Europa gibt es auch in Nordamerika nur sehr begrenzte Forschungskapazitäten und prinzipiell Widerstand bei den medizinischen Berufsgruppen bezüglich der Anwendungsmöglichkeiten und der Rolle im Behandlungsprozess. Mehr Kooperation würde international zu einer Beschleunigung der Entwicklung und der Etablierung gemeinsamer Standards beitragen sowie die Behandlungssysteme bedeutend verbessern.

scholarly journals Doctors documenting: an ethnographic and informatics approach to understanding attending physician documentation in the pediatric emergency department

2020 ◽  
Author(s):  
Sarah D Fouquet ◽  
Laura Fitzmaurice ◽  
Y Raymond Chan ◽  
Evan M Palmer
Keyword(s):  
Emergency Department ◽  
Mixed Methods ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Pediatric Emergency ◽  
Second Phase ◽  
Pediatric Emergency Department ◽  
Mixed Methods Approach ◽  
Time And Motion ◽  
Attending Physician

Abstract Objective The pediatric emergency department is a highly complex and evolving environment. Despite the fact that physicians spend a majority of their time on documentation, little research has examined the role of documentation in provider workflow. The aim of this study is to examine the task of attending physician documentation workflow using a mixed-methods approach including focused ethnography, informatics, and the Systems Engineering Initiative for Patient Safety (SEIPS) model as a theoretical framework. Materials and Methods In a 2-part study, we conducted a hierarchical task analysis of patient flow, followed by a survey of documenting ED providers. The second phase of the study included focused ethnographic observations of ED attendings which included measuring interruptions, time and motion, documentation locations, and qualitative field notes. This was followed by analysis of documentation data from the electronic medical record system. Results Overall attending physicians reported low ratings of documentation satisfaction; satisfaction after each shift was associated with busyness and resident completion. Documentation occurred primarily in the provider workrooms, however strategies such as bedside documentation, dictation, and multitasking with residents were observed. Residents interrupted attendings more often but also completed more documentation actions in the electronic medical record. Discussion Our findings demonstrate that complex work processes such as documentation, cannot be measured with 1 single data point or statistical analysis but rather a combination of data gathered from observations, surveys, comments, and thematic analyses. Conclusion Utilizing a sociotechnical systems framework and a mixed-methods approach, this study provides a holistic picture of documentation workflow. This approach provides a valuable foundation not only for researchers approaching complex healthcare systems but also for hospitals who are considering implementing large health information technology projects.

scholarly journals Association of Lowering Default Pill Counts in Electronic Medical Record Systems With Postoperative Opioid Prescribing

JAMA Surgery ◽  
2018 ◽  
Vol 153 (11) ◽  
pp. 1012 ◽  
Author(s):  
Alexander S. Chiu ◽  
Raymond A. Jean ◽  
Jessica R. Hoag ◽  
Mollie Freedman-Weiss ◽  
James M. Healy ◽  
...  
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Opioid Prescribing ◽  
Pill Counts ◽  
Electronic Medical Record Systems
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