Upadhyay Soumya, Hu Han-Fen
Department of Healthcare Administration and Policy, School of Public Health, University of Nevada, Las Vegas, NV, USA.
Department of Management, Entrepreneurship, and Technology, Lee Business School, University of Nevada Las Vegas, NV, USA.
Health Serv Insights. 2022 Mar 3;15:11786329211070722. doi: 10.1177/11786329211070722. eCollection 2022.
There have been mixed findings of clinicians' perceptions of Electronic Health Record (EHR). This study aims to explore the lived experiences of clinicians, to assess the role of EHR in improving the quality and safety of healthcare.
A qualitative study design was used. We collected the opinions from different groups of clinicians (physicians, hospitalists, nurse practitioners, nurses, and patient safety officers) using semi-structured interviews. Organizations represented were trauma hospitals, academic medical centers, medical clinics, home health centers, and small hospitals.
Our study found clinicians' ambivalent assessments toward EHR, which confirms extant literature. We compared the responses by job roles and found that nurses were positive about improving efficiency with EHR while others regarded EHR as time-consuming. While many underscored the importance of EHR in avoiding medical errors by improving data accessibility, nurses had concerns regarding data accuracy. Interoperability appeared to be a concern given limited system integration.
Lived experiences of clinicians further tease out the mixed views about the effectiveness of EHR and highlight the challenges in EHR implementation. Redesigning the EHR and improving its implementation process may be potential solutions to increase its effectiveness.
临床医生对电子健康记录（EHR）的看法不一。本研究旨在探索临床医生的实际体验，评估电子健康记录在提高医疗质量和安全性方面的作用。
采用定性研究设计。我们通过半结构化访谈收集了不同组临床医生（医生、住院医生、执业护士、护士和患者安全官员）的意见。所代表的机构有创伤医院、学术医疗中心、诊所、家庭健康中心和小型医院。
我们的研究发现临床医生对电子健康记录的评价矛盾，这证实了现有文献。我们按工作角色比较了回答，发现护士对电子健康记录提高效率持积极态度，而其他人则认为电子健康记录很耗时。虽然许多人强调电子健康记录通过提高数据可及性在避免医疗错误方面的重要性，但护士担心数据准确性。鉴于系统集成有限，互操作性似乎是一个问题。
临床医生的实际体验进一步梳理了关于电子健康记录有效性的不同观点，并突出了电子健康记录实施中的挑战。重新设计电子健康记录并改进其实施过程可能是提高其有效性的潜在解决方案。
