ArticleJournal of the American Medical Informatics Association : JAMIA2018
Provider and patient satisfaction with the integration of ambulatory and hospital EHR systems.
Article in Journal of the American Medical Informatics Association : JAMIA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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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
15 citing papers in PubMed.
- A Multiyear Survey Evaluating Clinician Electronic Health Record Satisfaction.Applied clinical informatics · 2023Article
- Does moral sensitivity contribute to patient satisfaction? A cross-sectional survey in educational hospitals.Journal of preventive medicine and hygiene · 2023Article
- Workflow Improvement of Electronic Health Record Usage in a Tertiary Pediatric Burns Clinic.Applied clinical informatics · 2023Observational
- Relative bed allocation for COVID-19 patients, EHR investments, and COVID-19 mortality outcomes.PloS one · 2023Article
- The Interplay of Work, Digital Health Usage, and the Perceived Effects of Digitalization on Physicians' Work: Network Analysis Approach.Journal of medical Internet research · 2022Article
- Association between ICU interruptions and physicians trainees' electronic health records efficiency.Informatics for health & social care · 2021Article
- Empowering physicians with health information technology: An empirical investigation in Chinese hospitals.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Ranking the Healthcare Resource Factors for Public Satisfaction with Health System in China-Based on the Grey Relational Analysis Models.International journal of environmental research and public health · 2021Article
- Disrupted and Restored Patient Experience With Transition to New Electronic Health Record System.Journal of patient experience · 2021Article
- Effects of Electronic Health Record Implementation and Barriers to Adoption and Use: A Scoping Review and Qualitative Analysis of the Content.Life (Basel, Switzerland) · 2020Article
- The impact of transitioning from availability of outside records within electronic health records to integration of local and outside records within electronic health records.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- An Analysis of the Learning Health System in Its First Decade in Practice: Scoping Review.Journal of medical Internet research · 2020Article
- Exploring association between certified EHRs adoption and patient experience in U.S. psychiatric hospitals.PloS one · 2020Article
- 10 Steps to Strategically Build and Implement your Enterprise Imaging System: HIMSS-SIIM Collaborative White Paper.Journal of digital imaging · 2019Review
- A resolution for the new year: Responding to a call to organize against burnout crisis.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2018Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: The installation of EHR systems can disrupt operations at clinical practice sites, but also lead to improvements in information availability. We examined how the installation of an ambulatory EHR at OB/GYN practices and its subsequent interface with an inpatient perinatal EHR affected providers' satisfaction with the transmission of clinical information and patients' ratings of their care experience. Methods: We collected data on provider satisfaction through 4 survey rounds during the phased implementation of the EHR. Data on patient satisfaction were drawn from Press Ganey surveys issued by the healthcare network through a standard process. Using multivariable models, we determined how provider satisfaction with information transmission and patient satisfaction with their care experience changed as the EHR system allowed greater information flow between OB/GYN practices and the hospital. Results: Outpatient OB/GYN providers became more satisfied with their access to information from the inpatient perinatal triage unit once system capabilities included automatic data flow from triage back to the OB/GYN offices. Yet physicians were generally less satisfied with how the EHR affected their work processes than other clinical and non-clinical staff. Patient satisfaction dropped after initial EHR installation, and we find no evidence of increased satisfaction linked to system integration. Conclusions: Dissatisfaction of providers with an EHR system and difficulties incorporating EHR technology into patient care may negatively impact patient satisfaction. Care must be taken during EHR implementations to maintain good communication with patients while satisfying documentation requirements.
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