Development of a Tool to Measure User Experience Following Electronic Health Record Implementation

被引:7
作者
Xiao, Yan [1 ]
Montgomery, Donna Cook [1 ]
Philpot, Lindsey M. [1 ]
Barnes, Sunni A. [1 ]
Compton, Jan [1 ]
Kennerly, Donald [1 ]
机构
[1] Baylor Scott & White Hlth North Div, Dallas, TX USA
来源
JOURNAL OF NURSING ADMINISTRATION | 2014年 / 44卷 / 7-8期
关键词
MEDICAL-RECORD; UNINTENDED CONSEQUENCES; INFORMATION-TECHNOLOGY; ORDER ENTRY; OF-CARE; SATISFACTION; SYSTEMS; NURSES; DOCUMENTATION; USABILITY;
D O I
10.1097/NNA.0000000000000093
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
OBJECTIVE: The aim of this study was to develop a survey tool to assess electronic health record (EHR) implementation to guide improvement initiatives. BACKGROUND: Survey tools are needed for ongoing improvement and have not been developed for aspects of EHR implementation. METHODS: The Baylor EHR User Experience (UX) survey was developed to capture 5 concept domains: training and competency, usability, infrastructure, usefulness, and end-user support. Validation efforts included content validity assessment, a pilot study, and analysis of 606 nurse respondents. The revised tool was sent to randomly sampled EHR nurse-users in 11 acute care facilities. RESULTS: A total of 1,301 nurses responded (37%). Internal consistency of the survey tool was excellent (Cronbach's alpha = .892). Survey responses including 1,819 open comments were used to identify and prioritize improvement efforts in areas such as education, support, optimization of EHR functions, and vendor change requests. CONCLUSION: The Baylor EHR UX survey was a valid tool that can be useful for prioritizing improvement efforts in relation to EHR implementation.
引用
收藏
页码:423 / 428
页数:6
相关论文
共 20 条
  • [1] Some unintended consequences of information technology in health care: The nature of patient care information system-related errors
    Ash, JS
    Berg, M
    Coiera, E
    [J]. JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2004, 11 (02) : 104 - 112
  • [2] Clinician Perceptions of an Electronic Medical Record During the First Year of Implementaton in Emergency Services
    Chisolm, Deena J.
    Purnell, Tanjala S.
    Cohen, Daniel M.
    McAlearney, Ann Scheck
    [J]. PEDIATRIC EMERGENCY CARE, 2010, 26 (02) : 107 - 110
  • [3] 'Rage against the machine?': nurses' and midwives' experiences of using Computerized Patient Information Systems for clinical information
    Darbyshire, P
    [J]. JOURNAL OF CLINICAL NURSING, 2004, 13 (01) : 17 - 25
  • [4] Development and psychometric evaluation of the impact of health information technology (I-HIT) scale
    Dykes, Patricia C.
    Hurley, Ann
    Cashen, Margaret
    Bakken, Suzanne
    Duffy, Mary E.
    [J]. JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2007, 14 (04) : 507 - 514
  • [5] Edsall Robert L, 2005, Fam Pract Manag, V12, P29
  • [6] Edsall Robert L, 2012, Fam Pract Manag, V19, P23
  • [7] Safety Issues Related to the Electronic Medical Record (EMR): Synthesis of the Literature from the Last Decade, 2000-2009
    Harrington, Linda
    Kenner, Donald
    Johnson, Constance
    [J]. JOURNAL OF HEALTHCARE MANAGEMENT, 2011, 56 (01) : 31 - 43
  • [8] Unintended consequences of information technologies in health care - An interactive sociotechnical analysis
    Harrison, Michael I.
    Koppel, Ross
    Bar-Lev, Shirly
    [J]. JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2007, 14 (05) : 542 - 549
  • [9] Changes in end-user satisfaction with Computerized Provider Order Entry over time among nurses and providers in intensive care units
    Hoonakker, Peter L. T.
    Carayon, Pascale
    Brown, Roger L.
    Cartmill, Randi S.
    Wetterneck, Tosha B.
    Walker, James M.
    [J]. JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2013, 20 (02) : 252 - 259
  • [10] Nurses' satisfaction with medication administration point-of-care technology
    Hurley, Ann C.
    Bane, Anne
    Fotakis, Sofronia
    Duffy, Mary E.
    Sevigny, Amanda
    Poon, Eric G.
    Gandhi, Teja K.
    [J]. JOURNAL OF NURSING ADMINISTRATION, 2007, 37 (7-8): : 343 - 349