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Electronic Health Record Usability When Caring for Children With Medical Complexity.
Wilson, Averi E; Diaz, Marlon I; Lehmann, Christoph U; Maddox, Katherine.
Afiliación
  • Wilson AE; Department of Pediatrics, University of Texas Southwestern, Dallas, Texas.
  • Diaz MI; Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, Texas.
  • Lehmann CU; Department of Pediatrics, University of Texas Southwestern, Dallas, Texas.
  • Maddox K; Clinical Informatics Center, University of Texas Southwestern Medical Center, Dallas, Texas.
Hosp Pediatr ; 14(3): e156-e160, 2024 Mar 01.
Article en En | MEDLINE | ID: mdl-38379459
ABSTRACT

OBJECTIVES:

To evaluate usability of and clinician satisfaction with the electronic health record (EHR) in the context of caring for children with medical complexity (CMC) at a large academic pediatric hospital and to identify key areas for targeted improvements.

METHODS:

Cross-sectional study of pediatric faculty and advanced practice providers across several pediatric specialties using an online Research Electronic Data Capture survey. EHR usability was measured with 6 validated questions from the National Usability-Focused Health Information System Scale, and satisfaction with common EHR functionalities was measured with 6 original Likert-scale questions and 3 free-text questions. Results were analyzed with bivariate testing.

RESULTS:

More than half of providers completed the survey (n = 81, response rate 56%). When asked 6 positively-phrased, validated usability questions, a majority of respondents either agreed or were neutral. Respondents were most dissatisfied with information quality of the summary view and most satisfied with physician communication. Older respondents were less satisfied with EHR usability (P < .01). Focusing on functionalities needed for CMC, the majority of respondents were dissatisfied with the chart review process. More respondents were dissatisfied with order entry (P = .002) and documentation (P = .017) when caring for CMC compared with caring for other patients. The most cited challenges were locating recent patient data, performing an accurate medication reconciliation, and lack of specialized documentation templates.

CONCLUSIONS:

Clinicians are less satisfied with common EHR functionalities when caring for CMC compared with caring for all other patients. Targeted interventions to improve usability and common EHR functionalities for CMC are necessary to improve the user experience.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Comunicación / Registros Electrónicos de Salud Límite: Child / Humans Idioma: En Revista: Hosp Pediatr Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Comunicación / Registros Electrónicos de Salud Límite: Child / Humans Idioma: En Revista: Hosp Pediatr Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos