ArticleApplied clinical informatics2016
A Two-Year Longitudinal Assessment of Ophthalmologists' Perceptions after Implementing an Electronic Health Record System.
Article in Applied clinical informatics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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.
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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
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The burden of the digital environment: a systematic review on organization-directed workplace interventions to mitigate physician burnout.Journal of the American Medical Informatics Association : JAMIA · 2021Pooled it
- Design and evaluation of a web-based electronic health record for amblyopia.Frontiers in medicine · 2024Article
- Assessing Electronic Health Record (EHR) Use during a Major EHR Transition: An Innovative Mixed Methods Approach.Journal of general internal medicine · 2023Article
- A Multiyear Survey Evaluating Clinician Electronic Health Record Satisfaction.Applied clinical informatics · 2023Article
- The Value of Electronic Health Records Since the Health Information Technology for Economic and Clinical Health Act: Systematic Review.JMIR medical informatics · 2022Review
- Electronic Health Records in Ophthalmology: Source and Method of Documentation.American journal of ophthalmology · 2020Article
- Promoting Quality Face-to-Face Communication during Ophthalmology Encounters in the Electronic Health Record Era.Applied clinical informatics · 2020Article
- Effect of Organization-Directed Workplace Interventions on Physician Burnout: A Systematic Review.Mayo Clinic proceedings. Innovations, quality & outcomes · 2019Review
- Impact of Electronic Health Record Implementation on Ophthalmology Trainee Time Expenditures.Journal of academic ophthalmology (2017) · 2019Article
- Changes in Electronic Health Record Use Time and Documentation over the Course of a Decade.Ophthalmology · 2019Article
- Impact of Electronic versus Paper-Based Recording before EHR Implementation on Health Care Professionals' Perceptions of EHR Use, Data Quality, and Data Reuse.Applied clinical informatics · 2019Article
- Nurses' Experience With Health Information Technology: Longitudinal Qualitative Study.JMIR medical informatics · 2018Article
- Perceived impact of digital health technology on health professionals and their work: A qualitative study in Southern Ghana.Digital healthArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectivesTo understand the attitudes and perceptions of ophthalmologists toward an electronic health record (EHR) system, before and after its clinical implementation.
methodsOphthalmologists at a single large academic ophthalmology department were surveyed longitudinally before and after implementation of a new EHR system. The survey measured ophthalmologists' attitudes toward implementation of a new EHR. Questions focused on satisfaction, efficiency, and documentation. All attending physicians (between 56 and 61 at various time points) in the University of Michigan Department of Ophthalmology and Visual Sciences were surveyed. We plotted positive responses to survey questions and assessed whether perceptions followed a J-curve with an initial decrease followed by an increase surpassing pre-implementation levels.
resultsSurvey responses were received from 32 (52%) ophthalmologists pre-implementation, and 28 (46%) at 3 months, 35 (57%) at 7 months, 40 (71%) at 13 months and 39 (67%) at 24 months post-implementation. After EHR implementation respondents were more likely to express concerns about their ability to create high-quality documentation (p<0.01) and the impact of an electronic health record on meaningful patient interaction (p<0.01). Physicians did not report a significant change in the amount of time spent documenting outside of regular clinical work hours (p=0.54) or on their clinic efficiency and workflow (p=0.97). There was no significant change in overall job satisfaction during the study period (p=0.69). We did not observe a J-curve for any of the survey responses analyzed.
conclusionsAs ophthalmology practices continue to transition to EHRs, adapting them to their specific culture and needs is important to maintain efficiency and user satisfaction. This study identifies areas of concern to ophthalmologists that may be addressed through education of physicians and customization of software as other practices move forward with EHR implementation.
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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.