ArticleJAMIA open2020
Physician champions' perspectives and practices on electronic health records implementation: challenges and strategies.
Article in JAMIA open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The role of champions in the implementation of technology in healthcare services: a systematic mixed studies review.BMC health services research · 2024Pooled it
- Early Implementation of a Nationwide Opt-Out Electronic Health Record for Outpatient Care in Germany: Qualitative Semistructured Interview Study.Journal of medical Internet research · 2026Article
- From fragmentation to integration: the implementation of Kuwait's nationwide pediatric intensive care units registry.Pediatric research · 2026Article
- The self-perceived role of tech champions in municipal healthcare services-a descriptive qualitative study.BMC health services research · 2025Article
- Tensions in large-scale electronic health record implementations: insights from a meta-synthesis.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Factors Contributing to Successful Information System Implementation and Employee Well-Being in Health Care and Social Welfare Professionals: Comparative Cross-Sectional Study.JMIR medical informatics · 2024Article
- Implementation and delivery of electronic health records training programs for nurses working in inpatient settings: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Applying the Non-Adoption, Abandonment, Scale-up, Spread, and Sustainability Framework Across Implementation Stages to Identify Key Strategies to Facilitate Clinical Decision Support System Integration Within a Large Metropolitan Health Service: Interview and Focus Group Study.JMIR medical informatics · 2024Article
- Electronic health record-supported implementation of an evidence-based pathway for perioperative surgical care.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- A Multicomponent Intervention to Train and Support Family Medicine Providers to Promote Pre-exposure Prophylaxis (PrEP) for Adolescent Girls and Young Women in the Deep South: Protocol for the PrEP-Pro Study.JMIR research protocols · 2023Article
- Implementation of a digital early warning score (NEWS2) in a cardiac specialist and general hospital settings in the COVID-19 pandemic: a qualitative study.BMJ open quality · 2023Article
- Physician engagement strategies in health information system implementations.Healthcare management forum · 2023Article
- Electronic health record closed-loop referral ("eReferral") to a state tobacco quitline: a retrospective case study of primary care implementation challenges and adaptations.Implementation science communications · 2022Article
- Satisfied or not satisfied? Electronic health records system implementation in Ghana: Health leaders' perspective.BMC medical informatics and decision making · 2022Article
- The role of organizational culture in health information technology implementations: A scoping review.Learning health systems · 2022Article
- The Case for the Anesthesiologist-Informaticist.JMIR perioperative medicine · 2022Article
- Article
- Article
- Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectivePhysician champions are "boots on the ground" physician leaders who facilitate the implementation of, and transition to, new health information technology (HIT) systems within an organization. They are commonly cited as key personnel in HIT implementations, yet little research has focused on their practices and perspectives. MATERIALS AND
methodsWe addressed this research gap through a qualitative study of physician champions that aimed to capture their challenges and strategies during a large-scale HIT implementation. Email interviews were conducted with 45 physician champions from diverse clinical areas 5 months after a new electronic health record (EHR) system went live in a large academic medical center. We adopted a grounded theory approach to analyze the data.
resultsOur physician champion participants reported multiple challenges, including insufficient training, limited at-the-elbow support, unreliable communication with leadership and the EHR vendor, as well as flawed system design. To overcome these challenges, physician champions developed their own personalized training programs in a simulated context or in the live environment, sought and obtained more at-the-elbow support both internally and externally, and adapted their departmental sociotechnical context to make the system work better. DISCUSSION AND
conclusionsThis study identified the challenges physician champions faced and the strategies they developed to overcome these challenges. Our findings suggest factors that are crucial to the successful involvement of physician champions in HIT implementations, including the availability of instrumental (eg, reward for efforts), emotional (eg, mechanisms for expressing frustrations), and peer support; ongoing engagement with the champions; and appropriate training and customization planning.
Indexed as
Identifiers
What OpenQuestion holds
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.