Transitioning between ambulatory EHRs: a study of practitioners' perspectives
Journal of the American Medical Informatics AssociationPublished 30 August 2011Open access
Stephanie O. Zandieh, Erika L. Abramson, Elizabeth R. Pfoh, Kahyun Yoon‐Flannery, Alan M. Edwards, Rainu Kaushal
Citations22
SJR quartileQ1
SJR score2.04
SNIP1.95
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
To ensure practitioners' expectations, for instance regarding improvements in medication safety, are met, vendors should develop and implement refinements in their software as practices upgrade to newer, certified EHRs.
Abstract
To ensure practitioners' expectations, for instance regarding improvements in medication safety, are met, vendors should develop and implement refinements in their software as practices upgrade to newer, certified EHRs.
Keywords
Health ProfessionsBiochemistry, Genetics and Molecular Biology
New England Journal of MedicineImproving Safety with Information Technology
1,527 Citations2003David W. Bates, Atul A. Gawande
Computerized prescribing by physicians reduces the rate of medication-related errors and systems that automatically page clinicians about serious laboratory abnormalities and remote monitoring of patients in intensive care units also appear promising.
Health AffairsThe Benefits Of Health Information Technology: A Review Of The Recent Literature Shows Predominantly Positive Results
1,300 Citations2011Melinda Beeuwkes Buntin, Matthew F. Burke +2 more
The recent literature on health information technology was reviewed to determine its effect on outcomes, including quality, efficiency, and provider satisfaction, and found that the benefits of the technology are beginning to emerge in smaller practices and organizations, as well as in large organizations that were early adopters.
New England Journal of MedicineElectronic Health Records in Ambulatory Care — A National Survey of Physicians
1,110 Citations2008Catherine M. DesRoches, Eric G. Campbell +9 more
Physicians who use electronic health records believe such systems improve the quality of care and are generally satisfied with the systems, but as of early 2008, electronic systems had been adopted by only a small minority of U.S. physicians, who may differ from later adopters of these systems.
Health AffairsPhysicians’ Use Of Electronic Medical Records: Barriers And Solutions
869 Citations2004Robert H. Miller, Ida Sim
Based on a qualitative study of physician practices that had implemented an EMR, it is found that quality improvement depends heavily on physicians' use of the EMR-and not paper-for most of their daily tasks.
New England Journal of MedicineStimulating the Adoption of Health Information Technology
730 Citations2009David Blumenthal
Health AffairsHow Common Are Electronic Health Records In The United States? A Summary Of The Evidence
307 Citations2006Ashish K. Jha, Timothy G. Ferris +5 more
This work identified surveys on EHR adoption and assessed their quality, finding large gaps in knowledge, including information about EHR use among safety-net providers, pose critical challenges for the development of policies aimed at speeding adoption.
Health AffairsPhysicians And Ambulatory Electronic Health Records
205 Citations2005David W. Bates
Few U.S. physicians use outpatient electronic health records (EHRs), although it appears that most would like to begin, and the key initial policy changes will be those addressing financial incentives and interoperability.
Journal of the American Medical Informatics AssociationAnticipating and addressing the unintended consequences of health IT and policy: a report from the AMIA 2009 Health Policy Meeting
187 Citations2010Meryl Bloomrosen, Justin Starren +4 more
The authors outline the conference's recommendations: an enhanced research agenda to guide study into the causes, manifestations, and mitigation of unintended consequences resulting from HIT implementations, and creation of a framework to promote sharing of HIT implementation experiences and the development of best practices that minimize unintended consequences.
PubMedElectronic medical record use by office-based physicians and their practices: United States, 2006.
145 Citations2007Esther Hing, Catharine W. Burt +1 more
Estimates of medical practices and physicians within the practices using electronic medical records (EMR) are presented for 2006 by selected physician and practice characteristics by adjusting the weighting scheme using a multiplicity estimator.
Journal of General Internal MedicineChallenges to EHR Implementation in Electronic- Versus Paper-based Office Practices
140 Citations2008Stephanie O. Zandieh, Kahyun Yoon‐Flannery +4 more
It was found that paper-based leaders prioritized the following: sufficient workstations and printers, a physician information technology (IT) champion at the practice, workflow education to ensure a successful transition to a paperless medical practice, and a high existing comfort level of practitioners and support staff with IT.
BMC Medical Informatics and Decision MakingThe quality case for information technology in healthcare
136 Citations2002David W. Bates
PubMedImplementing electronic health records: Key factors in primary care.
124 Citations2008Amanda Terry, Cathy Thorpe +6 more
Those considering implementing and adopting EHRs into a family practice environment should reflect on the following issues: their expectations of the system and what is needed to use the software, the level of commitment to EHR implementation and adoption, the availability of someone willing to take a leadership or champion role, and how much knowledge of computers potential EHR users have.
Journal of Healthcare ManagementElectronic Medical Records: Are Physicians Ready?
119 Citations1999Kathryn H. Dansky, Larry Gamm +2 more
It is found that computer experience, computer anxiety, and perceptions of organizational support predict the degree to which physicians and mid-level practitioners view the EMR effort positively.
Health PolicyHealth information technology and physician perceptions of quality of care and satisfaction
96 Citations2008Karen Davis, Michelle M. Doty +2 more
The seven-nation survey suggests that health systems that promote information system infrastructure are better able to address coordination and safety issues, particularly for patients with multiple chronic conditions, as well as to maintain primary care physician workforce satisfaction.
Journal of the American Medical Informatics AssociationTake Note(s): Differential EHR Satisfaction with Two Implementations under One Roof
95 Citations2003Ryan O’Connell, Christine L. Cho +3 more
A difference in satisfaction between internal medicine and pediatrics users of an EHR is found and many potential factors that influence satisfaction were similar between subjects in the two specialties, but differences in previous experience may have influenced the results.
International Journal of Medical InformaticsPhysician productivity and the ambulatory EHR in a large academic multi-specialty physician group
82 Citations2010Adam D. Cheriff, Akshay G. Kapur +2 more
Provider productivity, as measured by patient visit volume, charges, and wRVUs modestly increased for a cohort of multi-specialty providers that adopted a commercially available ambulatory EHR, suggesting there are fundamental differences in these groups.
Journal of Innovation in Health InformaticsBarriers to ambulatory EHR: who are 'imminent adopters' and how dothey differ from other physicians?
63 Citations2006Nir Menachemi
Policy and decision makers interested in promoting the adoption of EHR among physicians should focus on the needs and barriers of those most likely to adopt EHR.
Journal of the American Medical Informatics AssociationPhysicians' Use of Key Functions in Electronic Health Records from 2005 to 2007: A Statewide Survey
61 Citations2009Steven R. Simon, Christine S. Soran +8 more
System refinements, certification efforts, and health policies, including standards development, should address the gaps in both EHR adoption and the use of key functions.
PubMedAdoption of electronic medical records in family practice: the providers' perspective.
57 Citations2009Amanda Terry, Gavin Giles +3 more
It is important to be aware of and responsive to factors that can influence EMR implementation and adoption and to put into place mechanisms to promote the movement of practices across the continuum of EMR adoption.
Journal of General Internal MedicineVariation in Electronic Prescribing Implementation Among Twelve Ambulatory Practices
56 Citations2008Jesse C. Crosson, Nicole Isaacson +7 more
Practice leaders should plan implementation carefully, ensuring that practice members prepare for the effective integration of this technology into clinical workflow, to describe the practice characteristics associated with implementation and use of e-prescribing in ambulatory settings.
Journal of General Internal MedicineTransitioning Between Electronic Health Records: Effects on Ambulatory Prescribing Safety
48 Citations2011Erika L. Abramson, Sameer Malhotra +6 more
It is suggested that transitioning between systems, even to those with more robust CDS, may pose important safety threats, and recognizing the challenges associated with transitions and refining CDS within systems may help maximize safety benefits.
Journal of Innovation in Health InformaticsImminent adopters of electronic health records in ambulatory care
40 Citations2009Rainu Kaushal, David W. Bates +6 more
Compared to non-users, imminent adopters of EHRs were younger, more experienced with technology, and more often in practices engaged in quality improvement, and financial considerations appear to play a major role in adoption decisions.
PubMedAttitudes of academic-based and community-based physicians regarding EMR use during outpatient encounters.
33 Citations2001Louis E. Penrod, Cynthia S. Gadd
Comparing and contrast the attitudes of academic-based and community-based primary care physicians toward EMR use 6 months after implementation, and investigate some of the factors influencing their attitudes toward the EMR implementation are compared.
Journal of Innovation in Health InformaticsTrends in adoption of electronic health records by familyphysicians in Washington State
29 Citations2009Glen Stream
Adoption rate appears to have peaked in this group given current constraints and barriers, and increased outreach efforts and assistance programs will be necessary to achieve EHR adoption in the remaining practices, particularly solo and small group practices.
Journal for Healthcare QualityPredictors of Physician Satisfaction among Electronic Health Record System Users
28 Citations2009Nir Menachemi, Thomas L. Powers +2 more
Physicians with more robust EHRs, and those who adopted their system two or more years ago, were more likely to be satisfied, and several individual EHR functionalities were independently related to improved satisfaction.
JAMAMeaningful Use of Health Information Technology Is Managing Information
19 Citations2010Richard J. Baron
The gap between potential and actual use results from physicians focusing on the word-processing capacity of EHRs is large, and the only capacity needed if the goal is to produce progress notes documenting visits is word processing.
Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences
15 Citations2008Emily Beth Devine, Jennifer L. Wilson‐Norton +5 more
This work narrate development and implementation of a CPOE system—specifically a homegrown, e-prescribing system—in a community-based, integrated health care system and describes the strategies used and lessons learned that enabled successful adoption.
Journal of the American Medical Informatics AssociationThe Limited Use of Digital Ink in the Private-sector Primary Care Physician's Office
8 Citations1999Gary Arvary
This approach reveals a role for digital ink in telephone messaging and as a supplement to the encounter note and it is hoped that the utilization of digital ink will foster greater physician participation in the development of the electronic medical record.