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Examining Pediatric Resident Electronic Health Records Use During Prerounding: Mixed Methods Observational Study.

Jawad Alami1, Clare Hammonds1, Erin Hensien1

  • 1Department of Systems and Information Engineering, University of Virginia, Charlottesville, VA, United States.

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Summary
This summary is machine-generated.

Pediatric residents frequently miss steps during electronic health record (EHR) use for prerounding, indicating a need for improved EHR design and training to enhance efficiency.

Keywords:
EHReHealthelectronic health recordpediatricpreroundingtrainingusability

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Area of Science:

  • Health Informatics
  • Medical Education
  • Clinical Workflow Optimization

Background:

  • Electronic health records (EHRs) are integral to modern healthcare, particularly for resident prerounding.
  • Effective EHR use is critical for efficient patient information gathering and care decisions.
  • Current EHR training often inadequately equips residents, leading to suboptimal system utilization.

Purpose of the Study:

  • To evaluate the efficiency of EHR utilization during prerounding among pediatric residents.
  • To determine the influence of resident experience level on EHR usage patterns.
  • To identify specific areas for enhancement in EHR system design and training protocols.

Main Methods:

  • A mixed-methods study combining self-reported surveys and video analysis of resident prerounding.
  • Participants included pediatric residents from a large teaching hospital, stratified by postgraduate year.
  • Data collected included pages accessed, prerounding duration, task completion, and data source utilization, adhering to STROBE guidelines.

Main Results:

  • 80% of included residents (20/30) missed at least one prerounding step.
  • No significant differences in prerounding time or pages accessed were found between experience levels.
  • Aggregated data pages in EHRs did not demonstrably improve prerounding efficiency or reduce page access.

Conclusions:

  • EHR systems require design improvements to better meet user needs during prerounding.
  • Hospitals should implement more effective, ongoing EHR training programs for healthcare professionals.
  • Recommendations include adopting prerounding checklists and further research into EHR impact on patient outcomes.