Emergency Physician Perceptions of Electronic Health Record Usability and Safety.
Emergency Physician Perceptions of Electronic Health Record Usability and Safety.
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急诊医生对电子健康记录可用性和安全性的看法。
DOI：
10.1097/pts.0000000000000849
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发表时间：
2021
影响因子：
2.2
通讯作者：
Ratwani,RajM
中科院分区：
文献类型：
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作者：
Pruitt,ZoeM;Howe,JessicaL;Hettinger,AaronZ;Ratwani,RajM
目的尽管对电子健康记录(EHR)供应商的可用性测试有要求，但可用性挑战依然存在，导致了患者的安全问题。我们试图确定急诊医生感知的电子病历可用性和主要电子病历供应商产品的安全优势和不足。方法对来自4家不同医院的55名急诊医生进行访谈。结果在194条关于可用性的评论中，讨论最多的3个话题是工作流程支持(33.5%的评论)、视觉显示(20.1%)和数据输入(14.4%)。电子健康记录的可用性优势集中在可视化显示上，而最常见的缺点是缺乏对工作流的支持。确定了14个跨医院/跨供应商主题，6个供应商特定主题，4个医院特定主题。结论跨医院和供应商的可用性缺陷可能表明需要更多的应用研究和改进设计来解决这些问题。局限于特定产品或医院的缺陷可能是由于定制造成的，并且可以通过向其他组织学习来解决。
ObjectivesDespite requirements for electronic health record (EHR) vendor usability testing, usability challenges persist, contributing to patient safety concerns. We sought to identify emergency physicians’ perceived EHR usability and safety strengths and shortcomings across major EHR vendor products.MethodsFifty-five emergency physicians from 4 different hospitals were interviewed. The interviews were qualitatively analyzed, and physician comments were aligned with a usability taxonomy to identify emerging themes by vendor and hospital.ResultsOf the 194 comments about usability, the 3 most commonly discussed usability topics were Workflow Support (33.5% of comments), Visual Display (20.1%), and Data Entry (14.4%). Electronic health record usability strengths were centered on Visual Display, and the most common shortcoming was the lack of Workflow Support. Fourteen cross-hospital/cross-vendor themes, 6 vendor-specific themes, and 4 hospital-specific themes were identified.ConclusionsUsability shortcomings that spanned across hospitals and vendors may suggest a need for more applied research and improved design to resolve these issues. Shortcomings that are localized to a specific product or hospital may be due to customization and may be addressable by learning from other organizations.