Evidence map›Paper›PMID 35674989›Full record

ArticleJournal of medical systems2022

Improving usability of Electronic Health Records in a UK Mental Health setting: a feasibility study.

Ruta Buivydaite, Gurpreet Reen, Tatjana Kovalevica, Harry Dodd, Ian Hicks, Charles Vincent, Daniel Maughan

Erratum issuedAbstract read
In one paragraph

Article in Journal of medical systems, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Ruta Buivydaite *Department of Experimental Psychology, University of Oxford, Oxford, UK. ruta.buivydaite@psy.ox.ac.uk.
Gurpreet Reen *Department of Experimental Psychology, University of Oxford, Oxford, UK.
Tatjana KovalevicaOxford Health NHS Foundation Trust, Oxford, UK.
Harry DoddOxford Health NHS Foundation Trust, Oxford, UK.
Ian HicksOxford Health NHS Foundation Trust, Oxford, UK.
Charles VincentDepartment of Experimental Psychology, University of Oxford, Oxford, UK.
Daniel MaughanOxford Health NHS Foundation Trust, Oxford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectronic Health Records (EHRs) can help clinicians to plan, document and deliver care for patients in healthcare services. When used consistently, EHRs can advance patient safety and quality, and reduce clinician's workload. However, usability problems can make it difficult for clinicians to use EHRs effectively, which can negatively impact both healthcare professionals and patients.

objectiveTo improve usability of EHRs within a mental health service in the UK.

methodsThis was a feasibility study conducted with two mental health teams. A mixed-methods approach was employed. Focus group discussions with clinicians identified existing usability problems in EHRs and changes were made to address these problems. Updated EHR assessment forms were evaluated by comparing the following measures pre and post changes: (1) usability testing to monitor time spent completing and duplicating patient information in EHRs, (2) clinician's experience of using EHRs, and (3) proportion of completed EHR assessment forms.

resultsUsability testing with clinicians (n = 3) showed that the time taken to complete EHR assessment forms and time spent duplicating patient information decreased. Clinician's experience of completing EHR assessment forms also significantly improved post changes compared to baseline (n = 71; p < 0.005). There was a significant increase in completion of most EHR forms by both teams after EHR usability improvements (all at p < 0.01).

conclusionsUsability improvements to EHRs can reduce the time taken to complete forms, advance clinician's experience and increase usage of EHRs. It is important to engage healthcare professionals in the usability improvement process of EHRs in mental health services.

Indexed as

Electronic Health RecordsMental HealthFeasibility StudiesHumansPatient SafetyUnited KingdomElectronic Health RecordsMental HealthUsability improvementsUsability testing

Identifiers

PMID35674989
PMCPMC9177469

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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.