See the published version of this preprint at BMC Medical Informatics and Decision Making.
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Research article
Cynthia Judine Sieck
Ohio State University
Corresponding Author
ORCiD: https://orcid.org/0000-0002-6517-885X
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
Electronic Health Records (EHRs) have the potential to improve many aspects of care and their use has increased in the last decade. Because of this, acceptance and adoption of EHRs is less of a concern than adaptation to use. To understand this issue more deeply, we conducted a qualitative study of physician perspectives on EHR use to identify factors that facilitate adaptation.
Methods
We conducted semi-structured interviews with 9 physicians across a range of inpatient disciplines at a large Academic Medical Center. Interviews were conducted by phone, lasting approximately 30 minutes, and were transcribed verbatim for analysis. We utilized inductive and deductive methods in our analysis.
Results
We identified 4 major themes related to EHR adapation: impact of EHR changes on physicians, how physicians managed these changes, factors that facilitated adapation to using the EHR and adapting to using the EHR in the patient encounter. Within these themes, physicians felt that a positive mindset toward change, providing upgrade training that was tailored to their role, and the opportunity to learn from colleagues were important facilitators of adaption.
Conclusions
As EHR use moves beyond implementation, physicians continue to be required to adapt to the technology and to its frequent changes. Our study provides actionable findings that allow healthcare systems to focus on factors that facilitate the adaptation process for physicians.
Keywords
Health Information Technology, adaptation, Electronic Health Records
This is a list of supplementary files associated with this preprint. Click to download.
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CURRENT STATUS: Published
View the published article at BMC Medical Informatics and Decision Making.
No community comments so far
Editorial decision: Minor revision
On 19 Dec, 2019
Editor assigned
On 18 Dec, 2019
Submission checks complete
On 17 Dec, 2019
Editor invited
On 17 Dec, 2019
No comments provided
Editorial decision: Minor revision
On 04 Dec, 2019
Review #2 received
Received 19 Nov, 2019
Reviewer #3 agreed
On 01 Nov, 2019
Editor assigned
On 28 Oct, 2019
Reviewers invited
Invitations sent on 28 Oct, 2019
Reviewer #1 agreed
On 28 Oct, 2019
Reviewer #2 agreed
On 28 Oct, 2019
Review #1 received
Received 28 Oct, 2019
Submission checks complete
On 27 Oct, 2019
Editor invited
On 27 Oct, 2019
Version 1
Posted 19 Aug, 2019
No comments provided
Review #3 received
Received 23 Sep, 2019
Editorial decision: Major revision
On 23 Sep, 2019
Review #2 received
Received 14 Sep, 2019
Reviewer #3 agreed
On 30 Aug, 2019
Reviewer #2 agreed
On 28 Aug, 2019
Reviewer #1 agreed
On 20 Aug, 2019
Review #1 received
Received 20 Aug, 2019
Editor assigned
On 19 Aug, 2019
Reviewers invited
Invitations sent on 19 Aug, 2019
Submission checks complete
On 13 Aug, 2019
Editor invited
On 13 Aug, 2019
First submitted
On 06 Aug, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Medical Informatics
Learn more about our company.
A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Medical Informatics and Decision Making.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Cynthia Judine Sieck
Ohio State University
Corresponding Author
ORCiD: https://orcid.org/0000-0002-6517-885X
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Medical Informatics and Decision Making.
No community comments so far
Editorial decision: Minor revision
On 19 Dec, 2019
Editor assigned
On 18 Dec, 2019
Submission checks complete
On 17 Dec, 2019
Editor invited
On 17 Dec, 2019
No comments provided
Editorial decision: Minor revision
On 04 Dec, 2019
Review #2 received
Received 19 Nov, 2019
Reviewer #3 agreed
On 01 Nov, 2019
Editor assigned
On 28 Oct, 2019
Reviewers invited
Invitations sent on 28 Oct, 2019
Reviewer #1 agreed
On 28 Oct, 2019
Reviewer #2 agreed
On 28 Oct, 2019
Review #1 received
Received 28 Oct, 2019
Submission checks complete
On 27 Oct, 2019
Editor invited
On 27 Oct, 2019
Version 1
Posted 19 Aug, 2019
No comments provided
Review #3 received
Received 23 Sep, 2019
Editorial decision: Major revision
On 23 Sep, 2019
Review #2 received
Received 14 Sep, 2019
Reviewer #3 agreed
On 30 Aug, 2019
Reviewer #2 agreed
On 28 Aug, 2019
Reviewer #1 agreed
On 20 Aug, 2019
Review #1 received
Received 20 Aug, 2019
Editor assigned
On 19 Aug, 2019
Reviewers invited
Invitations sent on 19 Aug, 2019
Submission checks complete
On 13 Aug, 2019
Editor invited
On 13 Aug, 2019
First submitted
On 06 Aug, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Medical Informatics
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Medical Informatics and Decision Making.
Background
Electronic Health Records (EHRs) have the potential to improve many aspects of care and their use has increased in the last decade. Because of this, acceptance and adoption of EHRs is less of a concern than adaptation to use. To understand this issue more deeply, we conducted a qualitative study of physician perspectives on EHR use to identify factors that facilitate adaptation.
Methods
We conducted semi-structured interviews with 9 physicians across a range of inpatient disciplines at a large Academic Medical Center. Interviews were conducted by phone, lasting approximately 30 minutes, and were transcribed verbatim for analysis. We utilized inductive and deductive methods in our analysis.
Results
We identified 4 major themes related to EHR adapation: impact of EHR changes on physicians, how physicians managed these changes, factors that facilitated adapation to using the EHR and adapting to using the EHR in the patient encounter. Within these themes, physicians felt that a positive mindset toward change, providing upgrade training that was tailored to their role, and the opportunity to learn from colleagues were important facilitators of adaption.
Conclusions
As EHR use moves beyond implementation, physicians continue to be required to adapt to the technology and to its frequent changes. Our study provides actionable findings that allow healthcare systems to focus on factors that facilitate the adaptation process for physicians.
This is a list of supplementary files associated with this preprint. Click to download.
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