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End-user expectations during an electronic health record implementation: a case study in two academic hospitals
Erik Joukes1, Ronald Cornet1, Ameen Abu-Hanna1
1Department of Medical Informatics, Academic Medical Center, University of Amsterdam, The Netherlands.
Studies in Health Technology and Informatics
|May 21, 2015
Summary
Successful Electronic Health Record (EHR) implementation requires understanding end-user needs. Key factors include usability, training, and workflow alignment, with patient involvement also crucial for adoption.
Area of Science:
- Health Informatics
- Sociotechnical Systems
- Human-Computer Interaction
Background:
- Electronic Health Records (EHRs) are critical for modern healthcare, but their implementation is complex.
- Successful EHR adoption depends on understanding end-user perspectives, which are not fully elucidated.
- Monitoring end-user expectations and attitudes is vital during EHR implementation.
Purpose of the Study:
- To identify key determinants (barriers and enablers) for successful EHR implementation from end-user perspectives.
- To investigate end-users' perceptions of important factors influencing EHR adoption.
- To compare determinant importance between a center with a legacy EHR and one with paper-based records.
Main Methods:
- Concept mapping methodology combined with a literature search to develop a questionnaire.
- Investigated end-user perceived importance of various EHR implementation determinants.
- Comparative analysis between healthcare centers with different existing record systems.
Main Results:
- Identified 13 key determinants for successful EHR implementation, including usability, training, support, and workflow alignment.
- All identified determinants were considered important by end-users for immediate post-implementation success.
- Significant differences were found in the perceived importance of EHR's effect on work processes and patient involvement.
Conclusions:
- A comprehensive understanding of sociotechnical factors is essential for effective EHR implementation.
- End-user engagement and tailored support are critical for successful EHR adoption.
- Future EHR implementations should prioritize workflow integration and patient-centered considerations.
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