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Tytuł:
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How well is the electronic health record supporting the clinical tasks of hospital physicians? A survey of physicians at three Norwegian hospitals.
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Autorzy:
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Schopf TR; Norwegian Centre for E-health Research, University Hospital of North-Norway, P.O. Box 35, 9038, Tromsø, Norway. .
Nedrebø B; Norwegian Board of Health Supervision, P.O. Box 231 Skøyen, 0213, Oslo, Norway.
Hufthammer KO; Centre for Clinical Research, Haukeland University Hospital, P.O. Box 1400, 5021, Bergen, Norway.
Daphu IK; Section for e-Health, Department for Research and Development, Haukeland University Hospital, P.O. Box 1400, 5021, Bergen, Norway.
Lærum H; The Norwegian Directorate for e-health, P.O. Box 221 Skøyen, 0213, Oslo, Norway.
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Źródło:
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BMC health services research [BMC Health Serv Res] 2019 Dec 04; Vol. 19 (1), pp. 934. Date of Electronic Publication: 2019 Dec 04.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: London : BioMed Central, [2001-
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MeSH Terms:
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Attitude of Health Personnel*
Electronic Health Records*/statistics & numerical data
Medical Staff, Hospital*
Workflow*
Attitude to Computers ; Decision Support Systems, Clinical ; Female ; Humans ; Male ; Norway ; Surveys and Questionnaires ; User-Computer Interface ; Workload
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References:
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Contributed Indexing:
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Keywords: Clinical decision support; Clinical task; Electronic health record; Hospital physician; Information and communication technology
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Entry Date(s):
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Date Created: 20191206 Date Completed: 20200305 Latest Revision: 20200305
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Update Code:
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20240104
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PubMed Central ID:
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PMC6894258
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DOI:
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10.1186/s12913-019-4763-0
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PMID:
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31801518
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Background: The electronic health record is expected to improve the quality and efficiency of health care. Many novel functionalities have been introduced in order to improve medical decision making and communication between health care personnel. There is however limited evidence on whether these new functionalities are useful. The aim of our study was to investigate how well the electronic health record system supports physicians in performing basic clinical tasks.
Methods: Physicians of three prominent Norwegian hospitals participated in the survey. They were asked, in an online questionnaire, how well the hospital's electronic health record system DIPS supported 49 clinical tasks as well as how satisfied they were with the system in general, including the technical performance. Two hundred and eight of 402 physicians (52%) submitted a completely answered questionnaire.
Results: Seventy-two percent of the physicians had their work interrupted or delayed because the electronic health record hangs or crashes at least once a week, while 22% had experienced this problem daily. Fifty-three percent of the physicians indicated that the electronic health record is cumbersome to use and adds to their workload. The majority of physicians were satisfied with managing tests, e.g., requesting laboratory tests, reading test results and managing radiological investigations and electrocardiograms. Physicians were less satisfied with managing referrals. There was high satisfaction with some of the decision support functionalities available for prescribing drugs. This includes drug interaction alerts and drug allergy warnings, which are displayed automatically. However, physicians were less satisfied with other aspects of prescribing drugs, including getting an overview of the ongoing drug therapy.
Conclusions: In the survey physicians asked for improvements of certain electronic health record functionalities like medication, clinical workflow support including planning and better overviews. In addition, there is apparently a need to focus on system stability, number of logins, reliability and better instructions on available electronic health record features. Considerable development is needed in current electronic health record systems to improve usefulness and satisfaction.
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