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Physician experiences of screen-level features in a prominent electronic health record: Design recommendations from a qualitative study.
Khairat, Saif; Coleman, Cameron; Teal, Randall; Rezk, Salma; Rand, Victoria; Bice, Thomas; Carson, Shannon S.
Afiliación
  • Khairat S; University of North Carolina at Chapel Hill, USA.
  • Coleman C; University of North Carolina at Chapel Hill, USA.
  • Teal R; University of North Carolina at Chapel Hill, USA.
  • Rezk S; University of North Carolina at Chapel Hill, USA.
  • Rand V; University of North Carolina at Chapel Hill, USA.
  • Bice T; University of North Carolina at Chapel Hill, USA.
  • Carson SS; University of North Carolina at Chapel Hill, USA.
Health Informatics J ; 27(1): 1460458221997914, 2021.
Article en En | MEDLINE | ID: mdl-33691524
The goal of this qualitative study was to assess physicians' perceptions around features of key screens within a prominent commercial EHR, and to solicit end-user recommendations for improved retrieval of high-priority clinical information. We conducted a qualitative, descriptive study of 25 physicians in a medical ICU setting. at a tertiary academic medical center. An in-depth, semi-structured interview guide was developed to elicit physician perceptions on information retrieval as well as favorable and unfavorable features of specific EHR screens. Transcripts were independently coded in a qualitative software management tool by at least two trained coders using a common code book. We successfully obtained vendor permission to map physicians perception's on full Epic© screenshots. Among the 25 physician participants (13 female; 5 attending physicians, 9 fellows, 11 residents), the majority of participants reported experiencing challenges finding clinical information in the EHR. We present the most favorable and unfavorable screen-level features for four central EHR screens: Flowsheet, Notes/Chart Review, Results Review, and Vital Signs. We also compiled participants' recommendations for a comprehensive EHR dashboard screen to better support clinical workflow and information retrieval in the medical ICU through User-Centered Design. ICU physicians demonstrated a mix of positive and negative attitudes toward specific screen-level features in a major vendor-based EHR system. Physician perceptions of information overload emerged as a theme across multiple EHR screens. Our findings underscore the importance of qualitative research and end-user feedback in EHR software design and interface optimization at both the vendor and institutional level.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Médicos / Registros Electrónicos de Salud Tipo de estudio: Guideline / Prognostic_studies / Qualitative_research Límite: Female / Humans Idioma: En Revista: Health Informatics J Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Médicos / Registros Electrónicos de Salud Tipo de estudio: Guideline / Prognostic_studies / Qualitative_research Límite: Female / Humans Idioma: En Revista: Health Informatics J Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido