ArticleInformatics in primary care2014
Approaches and challenges to optimising primary care teams' electronic health record usage.
Article in Informatics in primary care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed.
- Trial
- Optimization of Electronic Health Record Usability Through a Department-Led Quality Improvement Process.Annals of family medicine · 2024Article
- Application of the Consolidated Framework for Implementation Research Model to Design and Implement an Optimization Methodology within an Ambulatory Setting.Applied clinical informatics · 2022Article
- Multidisciplinary Sprint Program Achieved Specialty-Specific EHR Optimization in 20 Clinics.Applied clinical informatics · 2021Article
- Optimizing the electronic health record: An inpatient sprint addresses provider burnout and improves electronic health record satisfaction.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Article
- Extending large-scale electronic health records to Canadian family physicians: Perspectives from a clinical trainer.Canadian family physician Medecin de famille canadien · 2020Article
- Article
- Pharmacists' Perspectives on the Use of My Health Record.Pharmacy (Basel, Switzerland) · 2020Article
- Physician champions' perspectives and practices on electronic health records implementation: challenges and strategies.JAMIA open · 2020Article
- Performance payment challenges for family physician program.Journal of education and health promotion · 2020Article
- Article
- Narrative Review for Exploring Barriers to Readiness of Electronic Health Record Implementation in Primary Health Care.Healthcare informatics research · 2019Review
- Developing primary care teams prepared to improve quality: a mixed-methods evaluation and lessons learned from implementing a microsystems approach.BMC health services research · 2018Article
- Building the learning health system: Describing an organizational infrastructure to support continuous learning.Learning health systems · 2017Article
- Stepping Up to the Plate: An Agenda for Research and Policy Action on Electronic Medical Records in Canadian Primary Healthcare.Healthcare policy = Politiques de sante · 2016Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundAlthough the presence of an electronic health record (EHR) alone does not ensure high quality, efficient care, few studies have focused on the work of those charged with optimising use of existing EHR functionality.
objectiveTo examine the approaches used and challenges perceived by analysts supporting the optimisation of primary care teams' EHR use at a large U.S. academic health care system.
methodsA qualitative study was conducted. Optimisation analysts and their supervisor were interviewed and data were analysed for themes.
resultsAnalysts needed to reconcile the tension created by organisational mandates focused on the standardisation of EHR processes with the primary care teams' demand for EHR customisation. They gained an understanding of health information technology (HIT) leadership's and primary care team's goals through attending meetings, reading meeting minutes and visiting with clinical teams. Within what was organisationally possible, EHR education could then be tailored to fit team needs. Major challenges were related to organisational attempts to standardise EHR use despite varied clinic contexts, personnel readiness and technical issues with the EHR platform. Forcing standardisation upon clinical needs that current EHR functionality could not satisfy was difficult.
conclusionsDedicated optimisation analysts can add value to health systems through playing a mediating role between HIT leadership and care teams. Our findings imply that EHR optimisation should be performed with an in-depth understanding of the workflow, cognitive and interactional activities in primary care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.