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A hospital-wide transition from paper to digital problem-oriented clinical notes
- Source :
- Applied Clinical Informatics, 8, 502-514, Applied Clinical Informatics, 8, 2, pp. 502-514
- Publication Year :
- 2017
- Publisher :
- Georg Thieme Verlag KG, 2017.
-
Abstract
- SummaryObjectives: To evaluate the use, usability, and physician satisfaction of a locally developed problem-oriented clinical notes application that replaced paper-based records in a large Dutch university medical center.Methods: Using a clinical notes database and an application event log file and a cross-sectional survey of usability, authors retrospectively analyzed system usage for medical specialties, users, and patients over 4 years. A standardized questionnaire measured usability. Authors analyzed the effects of sex, age, professional experience, training hours, and medical specialty on user satisfaction via univariate analysis of variance. Authors also examined the correlation between user satisfaction in relation to users’ intensity of use of the application.Results: In total 1,793 physicians used the application to record progress notes for 219,755 patients. The overall satisfaction score was 3.2 on a scale from 1 (highly dissatisfied) to 5(highly satisfied). A statistically significant difference occurred in satisfaction by medical specialty, but no statistically significant differences in satisfaction took place by sex, age, professional experience, or training hours. Intensity of system use did not correlate with physician satisfaction.Conclusions: By two years after the start of the implementation, all medical specialties utilized the clinical notes application. User satisfaction was neutral (3.2 on a 1–5 scale). Authors believe that the significant factors facilitating this transition mirrored success factors reported by other groups: a generic, consistent, and transparent design of the application; intensive collaboration; continuous monitoring; and an incremental rollout.Citation: Cillessen FHJM, de Vries Robbé PF, Biermans MCJ. A hospital-wide transition from paper to digital problem-oriented clinical note. Appl Clin Inform 2017; 8: 502–514 https://doi.org/10.4338/ACI-2016-08-RA-0137
- Subjects :
- medicine.medical_specialty
020205 medical informatics
Cross-sectional study
Vascular damage Radboud Institute for Health Sciences [Radboudumc 16]
Specialty
Health Informatics
Personal Satisfaction
02 engineering and technology
03 medical and health sciences
0302 clinical medicine
Health Information Management
Physicians
Surveys and Questionnaires
Medical Records, Problem-Oriented
0202 electrical engineering, electronic engineering, information engineering
medicine
Animals
Electronic Health Records
Humans
University medical
030212 general & internal medicine
Academic Medical Centers
business.industry
Other Research Radboud Institute for Health Sciences [Radboudumc 0]
Significant difference
Usability
Variance (accounting)
Computer Science Applications
Cross-Sectional Studies
Family medicine
Scale (social sciences)
business
Citation
Subjects
Details
- ISSN :
- 18690327
- Database :
- OpenAIRE
- Journal :
- Applied Clinical Informatics
- Accession number :
- edsair.doi.dedup.....603f54eeeb38f497da50df807ef240f8