Challenges to EHR Implementation in Electronic- Versus Paper-based Office Practices
Journal of General Internal MedicinePublished 27 March 2008
Stephanie O. Zandieh, Kahyun Yoon‐Flannery, Gilad J. Kuperman, Daniel J. Langsam, Daniel Hyman, Rainu Kaushal
Citations140
SJR quartileQ1
SJR score1.99
SNIP1.71
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
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.
Abstract
Leadership at paper- and EHR-based practices in 1 academic network has different priorities for implementing a new EHR. Ambulatory practices upgrading their legacy EHR have unique challenges.
Keywords
Health ProfessionsBusiness, Management and Accounting
Sage eBooksBasics of qualitative research : techniques and procedures for developing grounded theory
38,901 Citations1998Anselm L. Strauss, Juliet Corbin
National Academies Press eBooksTo Err Is Human
14,096 Citations2000Institute of Medicine
A process for the preparation of prostaglandins which are known pharmaceutically active compounds and then R alpha , R omega -cyclopentenoids is described.
JAMAEffect of Computerized Physician Order Entry and a Team Intervention on Prevention of Serious Medication Errors
2,091 Citations1998David W. Bates
Physician computer order entry decreased the rate of nonintercepted serious medication errors by more than half, although this decrease was larger for potential ADEs than for errors that actually resulted in an ADE.
PEDIATRICSUnexpected Increased Mortality After Implementation of a Commercially Sold Computerized Physician Order Entry System
1,150 Citations2005Yong Han, Joseph A. Carcillo +6 more
Journal of the American Medical Informatics AssociationFactors and Forces Affecting EHR System Adoption: Report of a 2004 ACMI Discussion
414 Citations2004Joan S. Ash
Initial recommendations for addressing adoption and diffusion rates for both inpatient and outpatient EHRs are low for a myriad of reasons ranging from personal physician concerns about workflow to broad environmental issues.
Health AffairsOvercoming Barriers To Adopting And Implementing Computerized Physician Order Entry Systems In U.S. Hospitals
410 Citations2004Eric G. Poon, David Blumenthal +4 more
Senior management at twenty-six hospitals were interviewed to identify ways to overcome barriers to adopting and implementing CPOE, and several policy levers to speed the adoption of this important patient safety technology are highlighted.
Health AffairsMedical Groups’ Adoption Of Electronic Health Records And Information Systems
408 Citations2005David N Gans, John E. Kralewski +2 more
Adoption of electronic health records (EHRs) is progressing slowly, at least in smaller practices, although a number of group practices plan to implement an EHR within the next two years.
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.
Journal of the American Medical Informatics AssociationPredicting the Adoption of Electronic Health Records by Physicians: When Will Health Care be Paperless?
275 Citations2005Eric W. Ford, Nir Menachemi +1 more
The likelihood of achieving universal EHR adoption in the near future is determined and how barriers can be overcome in the small and solo practice medical environment is articulated.
BMJKaiser Permanente's experience of implementing an electronic medical record: a qualitative study
268 Citations2005Jasmine Scott, Thomas G. Rundall +2 more
Examination of users' attitudes to implementation of an electronic medical record system in Kaiser Permanente Hawaii found a transient climate of conflict was associated with adoption of the system, and organisational factors such as leadership, culture, and professional ideals played complex roles.
The Annals of Family MedicinePhysicians, Patients, and the Electronic Health Record: An Ethnographic Analysis
246 Citations2006William Ventres
This study found that the introduction of EHRs into practice influences multiple cognitive and social dimensions of the clinical encounter and brings into focus important questions that through further inquiry can determine how to make best use of the EHR to enhance therapeutic relationships.
Health AffairsIt Ain’t Necessarily So: The Electronic Health Record And The Unlikely Prospect Of Reducing Health Care Costs
181 Citations2006Jaan Sidorov
As interest in patient-centeredness, shared decision making, teaming, group visits, open access, and accountability grows, the EHR is better viewed as an insufficient yet necessary ingredient.
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.
PubMedBenefiting from ambulatory EHR implementation: solidarity, six sigma, and willingness to strive.
24 Citations2006Michael H. Zaroukian, Arlene Sierra
This case study describes how timely EHR implementation and regular use in a large academic internal medicine clinic was encouraged, achieved, and demonstrated and critical success factors included readiness to change, solidarity in EHR use, and process improvement strategies that used the EHR system to repair suboptimal clinic workflows.
PubMedA physician's perspective: deploying the EMR.
16 Citations2002David Smith, Lucy Mancini Newell
This case study presents a collection of thoughts regarding the process of selecting and deploying an electronic medical record (EMR) in a physician's practice.
The Journal of Law Medicine & EthicsCommentary: Quality, Costs, Privacy and Electronic Medical Data
11 Citations1997D W Bates
While agreeing that proper confidentiality measures are necessary when handling patient records, author discusses finding a balance between privacy and the benefits of using patient data to improve quality and to control costs.