J Am Med Inform Assoc - Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use?

Tópicos

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Resumo

CKGROUND: Electronic health record (EHR) adoption is a national priority in the USA, and well-designed EHRs have the potential to improve quality and safety. However, physicians are reluctant to implement EHRs due to financial constraints, usability concerns, and apprehension about unintended consequences, including the introduction of medical errors related to EHR use. The goal of this study was to characterize and describe physicians' attitudes towards three consequences of EHR implementation: (1) the potential for EHRs to introduce new errors; (2) improvements in healthcare quality; and (3) changes in overall physician satisfaction.METHODS: Using data from a 2007 statewide survey of Massachusetts physicians, we conducted multivariate regression analysis to examine relationships between practice characteristics, perceptions of EHR-related errors, perceptions of healthcare quality, and overall physician satisfaction.RESULTS: 30% of physicians agreed that EHRs create new opportunities for error, but only 2% believed their EHR has created more errors than it prevented. With respect to perceptions of quality, there was no significant association between perceptions of EHR-associated errors and perceptions of EHR-associated changes in healthcare quality. Finally, physicians who believed that EHRs created new opportunities for error were less likely be satisfied with their practice situation (adjusted OR 0.49, p=0.001).CONCLUSIONS: Almost one third of physicians perceived that EHRs create new opportunities for error. This perception was associated with lower levels of physician satisfaction.

Resumo Limpo

ckground electron health record ehr adopt nation prioriti usa welldesign ehr potenti improv qualiti safeti howev physician reluct implement ehr due financi constraint usabl concern apprehens unintend consequ includ introduct medic error relat ehr use goal studi character describ physician attitud toward three consequ ehr implement potenti ehr introduc new error improv healthcar qualiti chang overal physician satisfactionmethod use data statewid survey massachusett physician conduct multivari regress analysi examin relationship practic characterist percept ehrrel error percept healthcar qualiti overal physician satisfactionresult physician agre ehr creat new opportun error believ ehr creat error prevent respect percept qualiti signific associ percept ehrassoci error percept ehrassoci chang healthcar qualiti final physician believ ehr creat new opportun error less like satisfi practic situat adjust pconclus almost one third physician perceiv ehr creat new opportun error percept associ lower level physician satisfact

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