Janssen Anna, Donnelly Candice, Elder Elisabeth, Pathmanathan Nirmala, Shaw Tim
Faculty of Health Sciences, The University of Sydney.
Breast Cancer Institute Westmead.
Stud Health Technol Inform. 2019 Aug 8;266:95-100. doi: 10.3233/SHTI190779.
EMRs are one of a range of digital health solutions that are key enablers of the data revolution transforming the health sector. They offer a wide range of benefits to health professionals, patients and other key stakeholders. However, effective implementation has proved challenging.
A qualitative methodology was used in the study. Interviews were conducted with members of a cancer team 12 months post-implementation of an EMR. Data from the interviews was collected via audio recording. Audio recordings were transcribed, de-identified and analyzed to identify the experiences of staff with the EMR.
Data was categorized in to six categories: 1) Standardisation of documentation and completeness of data; 2) Effect on workload; 3) Feature completeness and functionality; 4) Interaction with technical support; 5) Learning curve; 6) Buy-in from staff.
CONCLUSIONS & IMPLICATIONS: Findings from this study contribute new knowledge on barriers and enablers to the implementation of EMRs in complex clinical settings. Barriers to successful implementation include lack of technical support, perceived increase in workload and a learning curve to fully familiarize with the feature set of the EMR.
电子病历是一系列数字健康解决方案之一，是推动医疗行业数据革命的关键因素。它们为医疗专业人员、患者和其他关键利益相关者带来了广泛的益处。然而，事实证明有效实施具有挑战性。
本研究采用定性研究方法。在电子病历实施12个月后，对癌症团队成员进行了访谈。访谈数据通过录音收集。对录音进行转录、去识别化处理并分析，以确定工作人员使用电子病历的体验。
数据分为六类：1）文档标准化和数据完整性；2）对工作量的影响；3）功能完整性和功能性；4）与技术支持的互动；5）学习曲线；6）员工的认同。
本研究结果为复杂临床环境中电子病历实施的障碍和推动因素提供了新知识。成功实施的障碍包括缺乏技术支持、感觉工作量增加以及需要经历学习曲线才能完全熟悉电子病历的功能集。
