Evidence map›Paper›PMID 32039728›Full record

ArticleBMC medical informatics and decision making2020

A qualitative study of physician perspectives on adaptation to electronic health records.

Cynthia J Sieck, Nicole Pearl, Tiffani J Bright, Po-Yin Yen

Open access · goldAbstract read
In one paragraph

Article in BMC medical informatics and decision making, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

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  14. Improved Documentation of Electronic Cigarette Use in an Electronic Health Record.International journal of environmental research and public health · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Cynthia J SieckDepartment of Family Medicine, The Ohio State University College of Medicine, Columbus, OH, 43201, USA. Cynthia.sieck@osumc.edu.ORCID 0000-0002-6517-885X
Nicole PearlInstitute for Informatics, Washington University School of Medicine, St. Louis, MO, USA.
Tiffani J BrightIBM Watson Health, Cambridge, USA.
Po-Yin YenInstitute for Informatics, Washington University School of Medicine, St. Louis, MO, USA.
Washington University in St. Louis · USIBM (United States) · USThe Ohio State University · US

Funding

Development and Evaluation of Socio-Technical Metrics to Inform HIT AdaptationR21HS024767 · AHRQ · WASHINGTON UNIVERSITY · PI YEN, PO-YIN · 2016 to 2017
$291k
AHRQ HHS R21 HS024767
6 · The paper itself

Abstract

backgroundElectronic Health Records (EHRs) have the potential to improve many aspects of care and their use has increased in the last decade. Because of this, acceptance and adoption of EHRs is less of a concern than adaptation to use. To understand this issue more deeply, we conducted a qualitative study of physician perspectives on EHR use to identify factors that facilitate adaptation.

methodsWe conducted semi-structured interviews with 9 physicians across a range of inpatient disciplines at a large Academic Medical Center. Interviews were conducted by phone, lasting approximately 30 min, and were transcribed verbatim for analysis. We utilized inductive and deductive methods in our analysis.

resultsWe identified 4 major themes related to EHR adaptation: impact of EHR changes on physicians, how physicians managed these changes, factors that facilitated adaptation to using the EHR and adapting to using the EHR in the patient encounter. Within these themes, physicians felt that a positive mindset toward change, providing upgrade training that was tailored to their role, and the opportunity to learn from colleagues were important facilitators of adaptation.

conclusionsAs EHR use moves beyond implementation, physicians continue to be required to adapt to the technology and to its frequent changes. Our study provides actionable findings that allow healthcare systems to focus on factors that facilitate the adaptation process for physicians.

Indexed as

Attitude to ComputersElectronic Health RecordsFemaleHumansInterviews as TopicMalePhysiciansQualitative ResearchAdaptationElectronic health recordsHealth information technology

Identifiers

PMID32039728
PMCPMC7008538
OpenAlexW3012030742

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.