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Assessing the Status Quo of EHR Accessibility, Usability, and Knowledge Dissemination
Saif Khairat1, George Cameron Coleman1, Samantha Russomagno1
1University of North Carolina, US.
EGEMS (Washington, DC)
|August 11, 2018
Summary
Many informatics professionals face restrictions accessing electronic health records (EHRs), hindering usability research. Limited publication rights for EHR data impede the dissemination of crucial findings for system optimization.
Area of Science:
- Health Informatics
- Information Science
- Human-Computer Interaction
Background:
- Electronic health record (EHR) usability remains a challenge despite significant landscape evolution.
- Patient access to electronic health information receives more attention than informatics professional access.
- Informatics professionals face EHR access and publication restrictions, impeding usability research dissemination.
Purpose of the Study:
- To characterize electronic health record (EHR) accessibility among informatics professionals.
- To identify limitations on EHR access and publication rights for usability research.
- To stratify EHR access and publication restrictions by professional role, organization, and region.
Main Methods:
- A survey was conducted among informatics professionals across diverse roles and settings.
- Data on EHR access and publication rights were collected and analyzed.
- Access levels and restrictions were stratified by role, organization, geographic region, and EHR type.
Main Results:
- 71.5% of 126 respondents reported some EHR access; 13% had none.
- Faculty and researchers reported higher rates of no EHR access (19%).
- Fewer than 1 in 3 informatics professionals could freely publish usability testing screenshots, with 21% reporting unrestricted ability.
Conclusions:
- Current EHR accessibility patterns among informatics professionals restrict usability research dissemination.
- Stakeholder collaboration is essential for continued EHR optimization.
- Addressing access and publication barriers is vital for advancing EHR usability and design.
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