scholarly journals Factors associated with external ventricular drain placement accuracy: data from an electronic health record repository

2013 ◽  
Vol 155 (9) ◽  
pp. 1773-1779 ◽  
Author(s):  
Vaibhav Patil ◽  
Ronilda Lacson ◽  
Kirby G. Vosburgh ◽  
Judith M. Wong ◽  
Luciano Prevedello ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
External Ventricular Drain ◽  
Health Record ◽  
Factors Associated ◽  
Placement Accuracy ◽  
Drain Placement ◽  
Electronic Health ◽  
Accuracy Data

scholarly journals The Perceptions of and Factors Associated With the Adoption of the Electronic Health Record Sharing System Among Patients and Physicians: Cross-Sectional Survey (Preprint)

2019 ◽  
Author(s):  
Martin CS Wong ◽  
Junjie Huang ◽  
Paul SF Chan ◽  
Veeleah Lok ◽  
Colette Leung ◽  
...  
Keyword(s):  
Health Care ◽  
Electronic Health Record ◽  
Service Providers ◽  
Care Delivery ◽  
Health Care Service ◽  
Health Record ◽  
Public And Private ◽  
Major Barrier ◽  
Factors Associated ◽  
Electronic Health

BACKGROUND The electronic health record sharing system (eHRSS) was implemented as a new health care delivery platform to facilitate two-way communication between the public and private sectors in Hong Kong. OBJECTIVE This study aimed to investigate the perceptions of and factors associated with the adoption of eHRSS among patients, the general public, and private physicians. METHODS Telephone interviews were conducted in 2018 by using a simple random sampling strategy from a list of patients who had enrolled in the eHRSS and a territory-wide telephone directory for nonenrolled residents. We completed 2000 surveys (1000 each for enrolled and nonenrolled individuals). Private physicians completed self-administered questionnaires, including 762 valid questionnaires from 454 enrolled physicians and 308 nonenrolled physicians. RESULTS Most participants (707/1000, 70.70%) were satisfied with the overall performance of the eHRSS. Regarding registration status, most nonenrolled patients (647/1000, 64.70%) reported that “no recommendation from their physicians and family members” was the major barrier, whereas more than half of the physicians (536/1000, 53.60%) expressed concerns on “additional workload due to use of eHRSS.” A multivariate regression analysis showed that patients were more likely to register when they reported “other service providers could view the medical records” (adjusted odds ratio [aOR] 6.09, 95% CI 4.87-7.63; <i>P</i>&lt;.001) and “friends’ or family’s recommendation or assistance in registration” (aOR 3.51, 95% CI 2.04-6.03; <i>P</i>=.001). Physicians were more likely to register when they believed that the eHRSS could improve the quality of health care service (aOR 4.70, 95% CI 1.77-12.51; <i>P</i>=.002) and were aware that the eHRSS could reduce duplicated tests and treatments (aOR 4.16, 95% CI 1.73-9.97; <i>P</i>=.001). CONCLUSIONS Increasing the possibility of viewing patients' personal medical record, expanding the sharable data scope for patients, and highlighting the benefits of the system for physicians could be effective to enhance the adoption of the eHRSS.

scholarly journals Factors associated with exacerbations among adults with asthma according to electronic health record data

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Rebecca E. Greenblatt ◽  
Edward J. Zhao ◽  
Sarah E. Henrickson ◽  
Andrea J. Apter ◽  
Rebecca A. Hubbard ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Health Record ◽  
Electronic Health Record Data ◽  
Factors Associated ◽  
Record Data ◽  
Electronic Health

scholarly journals The Perceptions of and Factors Associated With the Adoption of the Electronic Health Record Sharing System Among Patients and Physicians: Cross-Sectional Survey

10.2196/17452 ◽  
2020 ◽  
Vol 8 (5) ◽  
pp. e17452
Author(s):  
Martin CS Wong ◽  
Junjie Huang ◽  
Paul SF Chan ◽  
Veeleah Lok ◽  
Colette Leung ◽  
...  
Keyword(s):  
Health Care ◽  
Electronic Health Record ◽  
Service Providers ◽  
Care Delivery ◽  
Health Care Service ◽  
Health Record ◽  
Public And Private ◽  
Major Barrier ◽  
Factors Associated ◽  
Electronic Health

Background The electronic health record sharing system (eHRSS) was implemented as a new health care delivery platform to facilitate two-way communication between the public and private sectors in Hong Kong. Objective This study aimed to investigate the perceptions of and factors associated with the adoption of eHRSS among patients, the general public, and private physicians. Methods Telephone interviews were conducted in 2018 by using a simple random sampling strategy from a list of patients who had enrolled in the eHRSS and a territory-wide telephone directory for nonenrolled residents. We completed 2000 surveys (1000 each for enrolled and nonenrolled individuals). Private physicians completed self-administered questionnaires, including 762 valid questionnaires from 454 enrolled physicians and 308 nonenrolled physicians. Results Most participants (707/1000, 70.70%) were satisfied with the overall performance of the eHRSS. Regarding registration status, most nonenrolled patients (647/1000, 64.70%) reported that “no recommendation from their physicians and family members” was the major barrier, whereas more than half of the physicians (536/1000, 53.60%) expressed concerns on “additional workload due to use of eHRSS.” A multivariate regression analysis showed that patients were more likely to register when they reported “other service providers could view the medical records” (adjusted odds ratio [aOR] 6.09, 95% CI 4.87-7.63; P<.001) and “friends’ or family’s recommendation or assistance in registration” (aOR 3.51, 95% CI 2.04-6.03; P=.001). Physicians were more likely to register when they believed that the eHRSS could improve the quality of health care service (aOR 4.70, 95% CI 1.77-12.51; P=.002) and were aware that the eHRSS could reduce duplicated tests and treatments (aOR 4.16, 95% CI 1.73-9.97; P=.001). Conclusions Increasing the possibility of viewing patients' personal medical record, expanding the sharable data scope for patients, and highlighting the benefits of the system for physicians could be effective to enhance the adoption of the eHRSS.

scholarly journals MHS Genesis Implementation: Strategies in Support of Successful EHR Conversion

2020 ◽  
Vol 185 (9-10) ◽  
pp. e1520-e1527
Author(s):  
Edward W Woody II
Keyword(s):  
Literature Review ◽  
Electronic Health Record ◽  
Health Care Providers ◽  
Change Theory ◽  
The United States ◽  
Theory Of Change ◽  
Health Record ◽  
Care Providers ◽  
Factors Associated ◽  
Electronic Health

Abstract Introduction The Military Health System (MHS) is implementing a new electronic health record (EHR) which will impact 9.5 million Department of Defense (DoD) beneficiaries and over 205,000 MHS employees globally. The scale and scope of this EHR rollout is unprecedented; however, lessons learned from previous rollouts across smaller contexts in tandem with Kurt Lewin’s Change Theory provide insights into critical success factors (CSFs) and critical barriers to implementation (CBIs) in which leadership may leverage to streamline future go-live efforts. Materials and Methods The researcher conducted a narrative literature review to identify breadth of knowledge currently available surrounding EHR implementation and change management. A Boolean search of UMGC OneSearch was conducted utilizing the search string “electronic health record* OR EHR* AND change* AND implement*” which resulted in 7,084 results. Additional inclusion criteria and limiters were then applied to these results which included full-text, scholarly, and published journal articles, written in English from January 2009 to November 2019, from Europe, the United States, and Canada, in health and medicine, military history and science, and social science and humanities disciplines. 758 articles were identified through database searching. A cursory review of titles and abstracts for goodness of fit eliminated an additional 696 articles leaving 62 for full review. 18 of these articles were used for the final literature review. Through snowballing as well as Google Scholar, eight additional articles were identified and included. Finally, as a result of MHS Genesis being a new, government-backed EHR, the researcher also utilized three pieces of gray literature and non-peer-reviewed articles from professional websites, and three articles for background regarding Lewin’s Theory of Change bringing the total references to 32. Results The manuscript uncovered two main themes regarding organizational change and EHR implementation. The first theme, coined CSF, includes factors associated with positive outcomes in implementing EHRs. The three CSFs are Process Change Champions, Training, and Feedback, and definitions can be found in Table I. The second theme identified, coined CBI, includes factors associated with hindering EHR implementation. The three CBIs are Technophobia, Resistance from Leaders/Providers, and Insufficient Communication, and definitions can be found in Table II. Conclusions By operationalizing pre-identified CSFs and CBIs, leaders of the MHS are able to streamline future waves of MHS Genesis rollouts utilizing Kurt Lewin’s Change Theory and the newly crafted Conceptual Framework of MHS Genesis Implementation presented in Figure 1. Through full acceptance and use of CSFs, adapting to feedback and barriers, and dynamically adjusting strategies, the challenges associated with a large-scale phased EHR implementation can be minimized. The results and implications of this literature review are significant as the MHS Genesis rollout is still in its infancy and evidence-based best practices can still be executed. MHS Genesis continues to be phase implemented and currently only the Pacific Northwest and parts of California have gone operational. Increasing efficiency in this process provides a benefit to stakeholders at all levels: health care providers, patients, leadership, and taxpayers.

The Perception of and Factors Associated with Adoption of the Electronic Health Record Sharing System Among Patients and Physicians

2019 ◽  
Author(s):  
Martin Wong ◽  
Junjie Huang ◽  
Paul S. F. Chan ◽  
Colette Leung ◽  
Jingxuan Wang ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Health Record ◽  
Factors Associated ◽  
Electronic Health

Factors Associated with Nurses' User Resistance to Change of Electronic Health Record (Preprint)

2020 ◽  
Author(s):  
Younghee Cho ◽  
Mihui Kim ◽  
Mona Choi
Keyword(s):  
Electronic Health Record ◽  
Organizational Support ◽  
Resistance To Change ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Health Record ◽  
Factors Affecting ◽  
User Resistance ◽  
Factors Associated ◽  
Electronic Health

BACKGROUND Electronic health record (EHR) systems often face user resistance in hospitals, which results in a failure to acquire the full benefits of EHR systems. It is crucial to reduce nurses’ resistance to use the EHR to implement the system successfully. OBJECTIVE This study aimed to investigate the factors associated with nurses’ resistance to use the EHR system. METHODS A descriptive correlational study was conducted on nurses working at four university hospitals implementing a new EHR within 2 years. Path analysis was performed with seven factors affecting user resistance behavior. RESULTS All seven factors were found to be significantly associated with user resistance, whether directly or indirectly. The total effect on user resistance behavior was highest in resistance to change (0.65), followed by perceived usefulness (-0.33), which both have direct but no indirect effects. Conversely, Self-efficacy (-0.25), perceived value (-0.21), colleagues’ opinion (-0.16), perceived ease of use (-0.16), and organizational support (-0.05) were found to have indirect but no direct effects. CONCLUSIONS The study explored the factors affecting nurses’ user resistance behavior after the implementation of a new EHR system. These findings could help hospitals develop better EHR implementation strategies to reduce user resistance behavior among the nursing staff.

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