Clinician perceptions of an electronic medical record during the first year of implementaton in emergency services.
Clinician perceptions of an electronic medical record during the first year of implementaton in emergency services.
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DOI：
10.1097/pec.0b013e3181ce2f99
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发表时间：
2010-02
影响因子：
1.4
通讯作者：
McAlearney AS
中科院分区：
文献类型：
--
作者：
Chisolm DJ;Purnell TS;Cohen DM;McAlearney AS
目的：本研究的目的是测量临床医生的看法，最近实施的电子病历（EMR）系统在儿科急诊科和场外紧急护理中心，并确定如何用户的看法随着时间的推移而改变。方法：医生和护士从急诊科/紧急护理中心被招募完成在线调查在3个时间点：30至89天（波1），90至179天（波2），180至270天后实施（波3）。所研究的初始满意度的潜在预测因素包括努力预期、绩效预期、社会支持和便利条件，以及用户人口统计数据和对技术的总体态度。沿着。使用Wilcoxon秩和检验和相关分析评估与满意度的双变量关系。计算最终的多元线性回归模型。随着时间的推移，满意度的变化进行了测试，使用Wilcoxon签署秩检验。结果：共有71名临床医生完成了调查。最初的满意度与培训和支持（促进条件）的看法和感知有用性（性能预期）密切相关。满意度与用户性别、年龄或角色（医生vs护士）无关。在波2或波3的任何满意度测量没有显着变化，但是，满意度的功能倾向于更高和满意度的可靠性倾向于较低的使用course.Conclusions：满意度与EMR在其推出一般持续通过第一年的使用。实施计划必须最大限度地提高对培训、支持和绩效的早期正面印象，以使用户对电子病历产生高度满意。
Objectives:The objectives of this study were to measure clinician perceptions of the recently implemented electronic medical record (EMR) system in a pediatric emergency department and off-site urgent care centers and to determine how user perceptions changed over time.Methods:Physicians and nurses from the emergency department/urgent care center were recruited to complete an online survey at 3 points in time: 30 to 89 days (wave 1), 90 to 179 days (wave 2), and 180 to 270 days after implementation (wave 3). Potential predictors of initial satisfaction studied included effort expectancy, performance expectancy, social support, and facilitating conditions, along with user demographics and general attitudes toward technology. Bivariate relationships with satisfaction were assessed using the Wilcoxon rank sum test and correlation analysis. A final multivariate linear regression model was calculated. Change in satisfaction over time was tested using a Wilcoxon signed rank test.Results:A total of 71 clinicians completed the surveys. Initial satisfaction was strongly associated with perceptions of training and support (facilitating conditions) and with perceived usefulness (performance expectancy). Satisfaction was not associated with user sex, age, or role (physician vs nurse). No significant change was found in any satisfaction measure at wave 2 or 3; however, satisfaction with functionality trended higher and satisfaction with reliability trended lower over the course of use.Conclusions:Satisfaction with an EMR at its launch generally persisted through the first year of use. Implementation plans must maximize the likelihood of achieving positive early impressions of training, support, and performance to engender high user satisfaction with the EMR.