El Mahalli Azza
Azza El.Mahalli, MD, PhD, is an associate professor of health information management at College of Applied Medical Sciences-University of Dammam in Saudi Arabia.
Perspect Health Inf Manag. 2015 Nov 1;12(Fall):1f. eCollection 2015.
Although electronic health records (EHRs) have been implemented in many hospitals and healthcare providers benefit from their effective and efficient data processing, their evaluation from nurses has received little attention. This project aimed to assess the adoption and barriers to the use of an EHR system by nurses at three governmental hospitals implementing the same EHR software and functionalities in Eastern Province, Saudi Arabia. The study was a cross-sectional, paper-based questionnaire study. SPSS version 20 was used for data entry and analysis, and descriptive statistics were calculated. The study found underutilization of almost all functionalities among all hospitals and no utilization of any communication tools with patients. In addition, there were no instances of "allowing patients to use the Internet to access parts of their health records." The most frequently cited barrier among all hospitals was "loss of access to medical records transiently if computer crashes or power fails" (88.6 percent). This was followed by "lack of continuous training/ support from information technology staff in hospital" (85.9 percent), "additional time required for data entry" (84.9 percent), and "system hanging up problem" (83.8 percent). Complexity of technology (81.6 percent) and lack of system customizability (81.1 percent) were also frequently reported problems. The formation of an EHR committee to discuss problems with the system in Saudi hospitals is recommended.
尽管电子健康记录（EHRs）已在许多医院实施，医疗保健提供者也从其高效的数据处理中受益，但护士对其的评价却很少受到关注。本项目旨在评估沙特阿拉伯东部省份三家使用相同EHR软件和功能的政府医院中护士采用EHR系统的情况及使用障碍。该研究是一项基于纸质问卷的横断面研究。使用SPSS 20版进行数据录入和分析，并计算描述性统计数据。研究发现，所有医院几乎都未充分利用所有功能，且未使用任何与患者的沟通工具。此外，没有出现“允许患者使用互联网访问其部分健康记录”的情况。所有医院中最常被提及的障碍是“如果电脑死机或停电，会暂时无法访问病历”（88.6%）。其次是“医院信息技术人员缺乏持续培训/支持”（85.9%）、“数据录入需要额外时间”（84.9%）以及“系统挂起问题”（83.8%）。技术复杂性（81.6%）和系统缺乏可定制性（81.1%）也是经常报告的问题。建议在沙特医院成立EHR委员会来讨论系统问题。
