ArticleJAMA network open2023
Inpatient EHR User Experience and Hospital EHR Safety Performance.
Article in JAMA network open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The influence of electronic health record design on usability and medication safety: systematic review.BMC health services research · 2025Pooled it
- Digital solutions in acute medicine: Will electronic health records join up the patient journey (soon?).Future healthcare journal · 2026Article
- Article
- Assessing Medication CDS Usability: Pilot Results from 10 Outpatient Clinics.Applied clinical informatics · 2025Article
- Medication safety analysis of elderly inpatients based on improved functional resonance analysis method (FRAM): a mixed methods study.Scientific reports · 2025Article
- EMR usability and patient safety: a national survey of physicians.NPJ digital medicine · 2025Article
- Human factors and systems simulation methods to optimize peri-operative EHR design and implementation.Advances in simulation (London, England) · 2025Article
- 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
- Patient safety incidents associated with EMR use: Results of a national survey of Swiss physicians.Digital healthArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
importanceDespite the broad adoption and optimization of electronic health record (EHR) systems across the continuum of care, serious usability and safety problems persist.
objectiveTo assess whether EHR safety performance is associated with EHR frontline user experience in a national sample of hospitals. DESIGN, SETTING, AND
participantsThis cross-sectional study included all US adult hospitals that used the National Quality Forum Leapfrog Health IT Safety Measure and also used the ARCH Collaborative EHR User experience survey from January 1, 2017, to January 1, 2019. Data analysis was performed from September 2020 to November 2022. MAIN OUTCOMES AND MEASURES: The primary outcomes were hospital performance on the Leapfrog Health IT Safety measure (overall and 10 subcomponents) and the ARCH collaborative frontline user experience scores (overall and 8 subcomponents). Ordinary least squares models with survey responses clustered by hospital were used to assess associations between the overall measures and their subcomponents.
resultsThere were 112 hospitals and 5689 frontline user surveys included in the study. Hospitals scored a mean of 0.673 (range, 0.297-0.973) on the Leapfrog Health IT safety measure; the mean ARCH EHR user experience score was 3.377 (range, 1 [best] to 5 [worst]). The adjusted β coefficient between the overall safety score and overall user experience score was 0.011 (95% CI, 0.006-0.016). The ARCH overall score was also significantly associated with 10 subcategory scores of the Leapfrog Health IT safety score, and the overall Leapfrog score was associated with the 8 subcategory scores of the ARCH user experience score. CONCLUSIONS AND RELEVANCE: This cross-sectional study found a positive association between frontline user-rated EHR usability and EHR safety performance. This finding suggests that improving EHR usability, which is a current well-known pain point for EHR users, could have direct benefits in terms of improved EHR safety.
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