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Implementation of an emergency department computer system: design features that users value.
Nicholas J Batley1, Hibah O Osman, Amin A Kazzi
1Department of Emergency Medicine, American University of Beirut, Beirut, Lebanon.
The Journal of Emergency Medicine
|July 13, 2010
Summary
Successful implementation of electronic medical records (EMRs) in emergency departments (EDs) hinges on user-centric design. Key features like real-time alerts and intuitive interfaces are crucial for physician adoption and system effectiveness.
Area of Science:
- Health Informatics
- Medical Technology
- Emergency Medicine
Background:
- Electronic medical records (EMRs) offer potential benefits for patient care efficiency, particularly in emergency departments (EDs).
- Physician resistance is a significant barrier to EMR implementation.
- The "ED Dashboard" EMR system was developed and implemented successfully in a high-volume tertiary care hospital ED.
Purpose of the Study:
- To identify specific design features of the ED Dashboard that contributed to its successful implementation.
- To assess the importance of these design features from the end-users' perspective.
Main Methods:
- An anonymous survey was administered to ED Dashboard users in January-February 2009.
- The survey evaluated user perceptions of implementation success and the importance of design features.
- Data were analyzed using SPSS software.
Main Results:
- A high response rate (93%) was achieved with 175 out of 188 users completing the survey.
- Despite minimal training, 93% of users found the system easy or extremely easy to use.
- Valuable design features included real-time alerts for new test results, "most common" lists, and the use of color.
Conclusions:
- Successful implementation of medical information systems in busy EDs is significantly influenced by meticulous attention to design details.
- User-perceived ease of use and the incorporation of specific, helpful features are key to EMR adoption in emergency settings.
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