ArticleEmergency medicine journal : EMJ2021
Usability of electronic health record systems in UK EDs.
Article in Emergency medicine journal : EMJ, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed.
- Usability of novel major TraumaApp for digital data collection.BMC emergency medicine · 2022Trial
- User Experiences of Electronic Controlled Substance Surveillance Among Health Care Professionals in a Large Academic Hospital: Cross-Sectional Survey.Journal of medical Internet research · 2026Article
- Quantifying and Visualizing Emergency Physician Workflow: Observational Time-Motion Study.JMIR medical informatics · 2026Observational
- Linking clinical documentation deficiencies to insurance reimbursement losses: a data quality perspective.BMC health services research · 2026Article
- Article
- Enhancing System Empathy Within a UK Emergency Department: A Feasibility Interprofessional Priority Setting Exercise.Journal of evaluation in clinical practice · 2026Article
- Machine learning for prediction of in-ICU mortality in sepsis: an observational study using the MIMIC IV database.Archives of medical science : AMS · 2026Article
- Implementing a multi-centre hypoglycaemia management surveillance model through a co-designed approach to develop actionable insights in the UK.Frontiers in health services · 2026Article
- Designing an App to Facilitate Self-Management in Young Adult Survivors of Childhood Cancer: Development and Usability Study.JMIR cancer · 2025Article
- Impact of regional medical network systems on emergency transport time for older patients in Japan: a retrospective observational study.BMC emergency medicine · 2025Observational
- Implementing Electronic Health Records in Philippine Primary Care Settings: Mixed-Methods Pilot Study.JMIR medical informatics · 2025Article
- EMR usability and patient safety: a national survey of physicians.NPJ digital medicine · 2025Article
- The use of robotic upper limb therapy in routine clinical practice for stroke survivors: Insights from Australian therapists.Australian occupational therapy journal · 2025Article
- Usability of an electronic health record 6 months post go-live and its association with burnout, insomnia and turnover intention: a cross-sectional study in a hospital setting.BMJ health & care informatics · 2025Article
- Digital solutions for migrant and refugee health: a framework for analysis and action.The Lancet regional health. Europe · 2025Review
- Paper-and-Pencil vs. Electronic Patient Records: Analyzing Time Efficiency, Personnel Requirements, and Usability Impacts on Healthcare Administration.Journal of clinical medicine · 2024Article
- An open-access dataset of emergency department admissions at a large teaching hospital in Iran.Data in brief · 2024Article
- Implementation of major trauma app: usability and data completeness.BMC emergency medicine · 2024Article
- Evaluation of usability and user feedback to guide telepharmacy application development in Indonesia: a mixed-methods study.BMC medical informatics and decision making · 2024Article
- Introducing a digital emergency obstetric and newborn care register for indoor obstetric patient management: An implementation research in selected public health care facilities of Bangladesh.Journal of global health · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe large volume of patients, rapid staff turnover and high work pressure mean that the usability of all systems within the ED is important. The transition to electronic health records (EHRs) has brought many benefits to emergency care but imposes a significant burden on staff to enter data. Poor usability has a direct consequence and opportunity cost in staff time and resources that could otherwise be employed in patient care. This research measures the usability of EHR systems in UK EDs using a validated assessment tool.
methodsThis was a survey completed by members and fellows of the Royal College of Emergency Medicine conducted during summer 2019. The primary outcome was the System Usability Scale Score, which ranges from 0 (worst) to 100 (best). Scores were compared with an internationally recognised measure of acceptable usability of 68. Results were analysed by EHR system, country, healthcare organisation and physician grade. Only EHR systems with at least 20 responses were analysed.
resultsThere were 1663 responses from a total population of 8794 (19%) representing 192 healthcare organisations (mainly UK NHS), and 25 EHR systems. Fifteen EHR systems had at least 20 responses and were included in the analysis. No EHR system achieved a median usability score that met the industry standard of acceptable usability.The median usability score was 53 (IQR 35-68). Individual EHR systems' scores ranged from 35 (IQR 26-53) to 65 (IQR 44-80).
conclusionIn this survey, no UK ED EHR system met the internationally validated standard of acceptable usability for information technology.
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