The Ohio State University, Columbus, OH, USA.
Med Care Res Rev. 2012 Jun;69(3):294-315. doi: 10.1177/1077558711436348. Epub 2012 Mar 26.
Given persistent barriers to effective electronic health record (EHR) system implementation and use, the authors investigated implementation training practices in six organizations reputed to have ambulatory care EHR system implementation "best practices." Using the lenses of social cognitive and adult learning theories, they explored themes related to EHR implementation training using qualitative data collected through 43 key informant interviews and 6 physician focus groups conducted between February 2009 and December 2010. The authors found consistent evidence that training practices across the six organizations known for exemplary implementations were congruent with the tenets of these theoretical frameworks and highlight seven best practices for training. The authors' analyses suggest that effective training programs must move beyond technical approaches and incorporate social and cultural factors to make a difference in implementation success. Taking these findings into account may increase the likelihood of successful EHR implementation, thereby helping organizations meet "meaningful use" requirements for EHR systems.
鉴于电子健康记录 (EHR) 系统实施和使用方面持续存在的障碍，作者调查了在六个据称具有门诊 EHR 系统实施“最佳实践”的组织中的实施培训实践。作者使用社会认知和成人学习理论的视角，通过在 2009 年 2 月至 2010 年 12 月期间进行的 43 次关键知情者访谈和 6 次医师焦点小组，利用定性数据探讨了与 EHR 实施培训相关的主题。作者发现，在以杰出实施而闻名的六个组织中，培训实践与这些理论框架的原则一致，并突出了七种培训最佳实践。作者的分析表明，有效的培训计划必须超越技术方法，并纳入社会和文化因素，才能在实施成功方面有所作为。考虑到这些发现，可能会增加成功实施 EHR 的可能性，从而帮助组织满足 EHR 系统的“有意义使用”要求。
