ArticleApplied clinical informatics2016
How Physician Perspectives on E-Prescribing Evolve over Time. A Case Study Following the Transition between EHRs in an Outpatient Clinic.
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 14 papers, 2 of them syntheses 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.
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
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Transitioning from One Electronic Health Record to Another: A Systematic Review.Journal of general internal medicine · 2023Pooled it
- How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies.BMJ quality & safety · 2019Pooled it
- Evaluating Clinical Staff Perceptions of EHR Usability, Satisfaction, and Adaptation to a New EHR: A Multisite, Pre-Post Implementation Study.Applied clinical informatics · 2025Article
- Medication Safety Amid Technological Change: Usability Evaluation to Inform Inpatient Nurses' Electronic Health Record System Transition.Journal of general internal medicine · 2023Article
- Time optimization in primary care - chronic prescription cost.BMC health services research · 2023Article
- Applying requisite imagination to safeguard electronic health record transitions.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- How Physicians Renew Electronic Prescriptions in Primary Care: Therapeutic Decision or Technical Task?International journal of environmental research and public health · 2021Article
- A Tool for Evaluating Medication Alerting Systems: Development and Initial Assessment.JMIR medical informatics · 2021Article
- E-prescribing and access to prescription medicines during lockdown: experience of patients in Aotearoa/New Zealand.BMC family practice · 2021Article
- Physicians' Use of the Computerized Physician Order Entry System for Medication Prescribing: Systematic Review.JMIR medical informatics · 2021Review
- Implementation of Computerized Physician Order Entry in Primary Care: A Scoping Review.Journal of multidisciplinary healthcare · 2021Article
- A Digitally Competent Health Workforce: Scoping Review of Educational Frameworks.Journal of medical Internet research · 2020Article
- Physicians' Perceptions of Electronic Prescribing with Electronic Medical Records in Kuwaiti Primary Healthcare Centres.Sultan Qaboos University medical journal · 2018Article
- SNOMED CT Concept Hierarchies for Sharing Definitions of Clinical Conditions Using Electronic Health Record Data.Applied clinical informatics · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundPhysicians are expending tremendous resources transitioning to new electronic health records (EHRs), with electronic prescribing as a key functionality of most systems. Physician dissatisfaction post-transition can be quite marked, especially initially. However, little is known about how physicians' experiences using new EHRs for e-prescribing evolve over time. We previously published a qualitative case study about the early physician experience transitioning from an older to a newer, more robust EHR, in the outpatient setting, focusing on their perceptions of the electronic prescribing functionality.
objectiveOur current objective was to examine how perceptions about using the new HER evolved over time, again with a focus on electronic prescribing.
methodsWe interviewed thirteen internists at an academic medical center-affiliated ambulatory care clinic who transitioned to the new EHR two years prior. We used a grounded theory approach to analyze semi-structured interviews and generate key themes.
resultsWe identified five themes: efficiency and usability, effects on safety, ongoing training requirements, customization, and competing priorities for the EHR. We found that for even experienced e-prescribers, achieving prior levels of perceived prescribing efficiency took nearly two years. Despite the fact that speed in performing prescribing-related tasks was highly important, most were still not utilizing system short cuts or customization features designed to maximize efficiency. Alert fatigue remained common. However, direct transmission of prescriptions to pharmacies was highly valued and its benefits generally outweighed the other features considered poorly designed for physician workflow.
conclusionsEnsuring that physicians are able to do key prescribing tasks efficiently is critical to the perceived value of e-prescribing applications. However, successful transitions may take longer than expected and e-prescribing system features that do not support workflow or require constant upgrades may further prolong the process. Additionally, as system features continually evolve, physicians may need ongoing training and support to maintain efficiency.
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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.