User perception and experience of the introduction of a novel critical care patient viewer in the ICU setting

Mikhail A. Dziadzko, Vitaly D Herasevich, Ayan Sen, Brian W Pickering, Ann Marie A Knight, Pablo Moreno Franco

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objective: Failure to rapidly identify high-value information due to inappropriate output may alter user acceptance and satisfaction. The information needs for different intensive care unit (ICU) providers are not the same. This can obstruct successful implementation of electronic medical record (EMR) systems. We evaluated the implementation experience and satisfaction of providers using a novel EMR interface-based on the information needs of ICU providers-in the context of an existing EMR system. Methods: This before-after study was performed in the ICU setting at two tertiary care hospitals from October 2013 through November 2014. Surveys were delivered to ICU providers before and after implementation of the novel EMR interface. Overall satisfaction and acceptance was reported for both interfaces. Results: A total of 246 before (existing EMR) and 115 after (existing EMR + novel EMR interface) surveys were analyzed. 14% of respondents were prescribers and 86% were non-prescribers. Non-prescribers were more satisfied with the existing EMR, whereas prescribers were more satisfied with the novel EMR interface. Both groups reported easier data gathering, routine tasks & rounding, and fostering of team work with the novel EMR interface. This interface was the primary tool for 18% of respondents after implementation and 73% of respondents intended to use it further. Non-prescribers reported an intention to use this novel interface as their primary tool for information gathering. Conclusion: Compliance and acceptance of new system is not related to previous duration of work in ICU, but ameliorates with the length of EMR interface usage. Task-specific and role-specific considerations are necessary for design and successful implementation of a EMR interface. The difference in user workflows causes disparity of the way of EMR data usage.

Original languageEnglish (US)
Pages (from-to)86-91
Number of pages6
JournalInternational Journal of Medical Informatics
Volume88
DOIs
StatePublished - Apr 1 2016

Fingerprint

Electronic Health Records
Critical Care
Intensive Care Units
Foster Home Care
Workflow
Tertiary Healthcare
Tertiary Care Centers
Compliance

Keywords

  • Electronic medical record
  • Implementation
  • Intensive care unit
  • Rounds
  • Usability

ASJC Scopus subject areas

  • Health Informatics

Cite this

User perception and experience of the introduction of a novel critical care patient viewer in the ICU setting. / Dziadzko, Mikhail A.; Herasevich, Vitaly D; Sen, Ayan; Pickering, Brian W; Knight, Ann Marie A; Moreno Franco, Pablo.

In: International Journal of Medical Informatics, Vol. 88, 01.04.2016, p. 86-91.

Research output: Contribution to journalArticle

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abstract = "Objective: Failure to rapidly identify high-value information due to inappropriate output may alter user acceptance and satisfaction. The information needs for different intensive care unit (ICU) providers are not the same. This can obstruct successful implementation of electronic medical record (EMR) systems. We evaluated the implementation experience and satisfaction of providers using a novel EMR interface-based on the information needs of ICU providers-in the context of an existing EMR system. Methods: This before-after study was performed in the ICU setting at two tertiary care hospitals from October 2013 through November 2014. Surveys were delivered to ICU providers before and after implementation of the novel EMR interface. Overall satisfaction and acceptance was reported for both interfaces. Results: A total of 246 before (existing EMR) and 115 after (existing EMR + novel EMR interface) surveys were analyzed. 14{\%} of respondents were prescribers and 86{\%} were non-prescribers. Non-prescribers were more satisfied with the existing EMR, whereas prescribers were more satisfied with the novel EMR interface. Both groups reported easier data gathering, routine tasks & rounding, and fostering of team work with the novel EMR interface. This interface was the primary tool for 18{\%} of respondents after implementation and 73{\%} of respondents intended to use it further. Non-prescribers reported an intention to use this novel interface as their primary tool for information gathering. Conclusion: Compliance and acceptance of new system is not related to previous duration of work in ICU, but ameliorates with the length of EMR interface usage. Task-specific and role-specific considerations are necessary for design and successful implementation of a EMR interface. The difference in user workflows causes disparity of the way of EMR data usage.",
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