Int J Med Inform - Transitioning from a computerized provider order entry and paper documentation system to an electronic health record: expectations and experiences of hospital staff.

Tópicos

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Resumo

JECTIVES: To examine healthcare worker's perceptions, expectations, and experiences regarding how work processes, patient-related safety, and care were affected when a quaternary care center transitioned from one computerized provider order entry (CPOE) system to a full electronic health record (EHR).METHODS: The I-SEE survey was administered prior to and 1-year after transition in systems. The construct validity and reliability of the survey was assessed within the current population and also compared to previously published results. Pre- and 1-year post-implementation scale means were compared within and across time periods.RESULTS: The majority of respondents were nurses and personnel working in the acute care setting. Because a confirmatory factor analysis indicated a lack of fit of our data to the I-SEE survey's 5-factor structure, we conducted an exploratory factor analysis that resulted in a 7-factor structure which showed better reliability and validity. Mean scores for each factor indicated that attitudes and expectations were mostly positive and score trends over time were positive or neutral. Nurses generally had less positive attitudes about the transition than non-nursing respondents, although the difference diminished after implementation.CONCLUSIONS: Findings demonstrate that the majority of responding staff were generally positive about transitioning from CPOE system to a full electronic health record (EHR) and understood the goals of doing so, with overall improved ratings over time. In addition, the I-SEE survey, when modified based on our population, was useful for assessing patient care and safety related expectations and experiences during the transition from one CPOE system to an EHR.

Resumo Limpo

jectiv examin healthcar worker percept expect experi regard work process patientrel safeti care affect quaternari care center transit one computer provid order entri cpoe system full electron health record ehrmethod ise survey administ prior year transit system construct valid reliabl survey assess within current popul also compar previous publish result pre year postimplement scale mean compar within across time periodsresult major respond nurs personnel work acut care set confirmatori factor analysi indic lack fit data ise survey factor structur conduct exploratori factor analysi result factor structur show better reliabl valid mean score factor indic attitud expect most posit score trend time posit neutral nurs general less posit attitud transit nonnurs respond although differ diminish implementationconclus find demonstr major respond staff general posit transit cpoe system full electron health record ehr understood goal overal improv rate time addit ise survey modifi base popul use assess patient care safeti relat expect experi transit one cpoe system ehr

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