Deena J. Chisolm|Tanjala S. Purnell|Daniel M. Cohen|Ann Scheck McAlearney
Clinician Perceptions of an Electronic Medical Record During the First Year of Implementaton in Emergency Services
The Ohio State University|Nationwide Children's Hospital|Center for Innovation|Johns Hopkins University|Nationwide Children's Hospital|The Ohio State University|The Ohio State University
objectives objectives study measure clinician perceptions recently implemented electronic medical record emr system pediatric emergency department offsite urgent care centers determine user perceptions changed time methods physicians nurses emergency departmenturgent care center recruited complete online survey 3 points time 30 89 days wave 1 90 179 days wave 2 180 270 days implementation wave 3 potential predictors initial satisfaction studied included effort expectancy performance expectancy social support facilitating conditions along user demographics general attitudes toward technology bivariate relationships satisfaction assessed using wilcoxon rank sum test correlation analysis final multivariate linear regression model calculated change satisfaction time tested using wilcoxon signed rank test results total 71 clinicians completed surveys initial satisfaction strongly associated perceptions training support facilitating conditions perceived usefulness performance expectancy satisfaction associated user sex age role physician vs nurse significant change found satisfaction measure wave 2 3 however satisfaction functionality trended higher satisfaction reliability trended lower course use conclusions satisfaction emr launch generally persisted first year use implementation plans must maximize likelihood achieving positive early impressions training support performance engender high user satisfaction emr