Journal article
Electronic health record usability and workload changes over time for provider and nursing staff following transition to new EHR
Applied ergonomics, Vol.93, pp.103359-103359
05/2021
DOI: 10.1016/j.apergo.2021.103359
PMID: 33556884
Abstract
The ubiquity of EHRs in healthcare means that small EHR inefficiencies can have a major impact on clinician workload. We conducted a sequential explanatory mixed methods study to: 1) identify EHR-associated workload and usability effects for clinicians following an EHR change over time, 2) determine workload and usability differences for providers (MD and Advance Practice Nurses) versus nurses (RNs and MAs), 3) determine if usability predicts workload, 4) identify potential sources of EHR design flaws. Workload (NASA-Task Load Index) and usability (System Usability Scale) measures were administered pre, 6–8 month and 30–32 months post-implementation. We found significant increase in perceived workload post-implementation that persisted for 2.5 years (p < .001). The workload increase was associated with usability ratings, which in turn may relate to EHR interface design violations identified by a heuristic evaluation. Our findings suggest further innovation and attention to interface design flaws are needed to improve EHR usability and reduce clinician workload.
•Clinicians experienced increased EHR workload over 2.5 years after implementation.•Perceptions of increased workload did not diminish over time.•Perceived workload was predicted by EHR-related usability.•Providers are also especially likely to experience EHR usability challenges.
Details
- Title: Subtitle
- Electronic health record usability and workload changes over time for provider and nursing staff following transition to new EHR
- Creators
- Karen Dunn Lopez - University of Iowa, College of Nursing, United StatesChieh-Li Chin - University of Illinois Urbana-ChampaignRenato Ferreira Leitão Azevedo - University of Illinois Urbana-ChampaignVarsha Kaushik - University of Illinois Urbana-ChampaignBidisha Roy - University of Illinois Urbana-ChampaignWilliam Schuh - Carle Foundation HospitalKayla Banks - Carle Foundation HospitalVanessa Sousa - Universidade da Integração Internacional da Lusofonia Afro-BrasileiraDaniel Morrow - University of Illinois Urbana-Champaign
- Resource Type
- Journal article
- Publication Details
- Applied ergonomics, Vol.93, pp.103359-103359
- DOI
- 10.1016/j.apergo.2021.103359
- PMID
- 33556884
- NLM abbreviation
- Appl Ergon
- ISSN
- 0003-6870
- eISSN
- 1872-9126
- Publisher
- Elsevier Ltd
- Grant note
- DOI: 10.13039/100005471, name: Beckman Institute for Advanced Science and Technology, University of Illinois, Urbana-Champaign
- Language
- English
- Date published
- 05/2021
- Academic Unit
- Nursing
- Record Identifier
- 9984370648602771
Metrics
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