Dataset Information

Take note(s): differential EHR satisfaction with two implementations under one roof.

ABSTRACT: The aim of this study was to rigorously evaluate perceived differences in satisfaction with an electronic health record (EHR) between residents of two medical specialties who share the same health record, practice location, administration, and information technology support.A cross-sectional survey was used comparing user satisfaction between pediatrics residents and internal medicine residents in an academic practice.The survey was designed to measure baseline demographic characteristics, attitudes toward computers, general satisfaction with an EHR, and perceived practicality of use, variation from familiar practice, organizational support, and impact on delivery of care.Medicine subjects were similar to pediatrics subjects in baseline demographic characteristics. Satisfaction with the EHR implementation was very high for both sets of subjects, but internal medicine residents were significantly less likely to be satisfied with the EHR implementation (relative risk [RR]=0.84, 95% confidence interval [CI]=0.73-0.98) and considerably less likely to believe that their colleagues were satisfied with it (RR=0.56, 95% CI=0.41-0.77). The only surveyed characteristic independently predicting satisfaction was medical specialty (p=0.04). Medicine subjects were less likely to believe template-based documentation improved their efficiency (RR=0.64, 95% CI=0.46-0.88). They were significantly more likely to believe the system had been designed to improve billing (RR=1.50, 95% CI=1.05-2.04) and not to improve patient care (RR=0.61, 95% CI=0.44-0.85).The authors found a difference in satisfaction between internal medicine and pediatrics users of an EHR. Although many potential factors that influence satisfaction were similar between subjects in the two specialties, differences in previous experience may have influenced the results. Medicine residents had more previous experience with a different EHR implementation, which they may have perceived as superior to the one involved in this study. Pediatric residents had more previous experience with structured data entry prior to EHR implementation and more preventive care patient encounters for which structured data entry may be well suited. Since successful implementations generally require satisfied users, understanding what factors affect satisfaction can improve chances of a system's success.

SUBMITTER: O'Connell RT

PROVIDER: S-EPMC305457 | biostudies-literature | 2004 Jan-Feb

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Take note(s): differential EHR satisfaction with two implementations under one roof.

O'Connell Ryan T RT Cho Christine C Shah Nidhi N Brown Karen K Shiffman Richard N RN

Journal of the American Medical Informatics Association : JAMIA 20031005 1

<h4>Objective</h4>The aim of this study was to rigorously evaluate perceived differences in satisfaction with an electronic health record (EHR) between residents of two medical specialties who share the same health record, practice location, administration, and information technology support.<h4>Design</h4>A cross-sectional survey was used comparing user satisfaction between pediatrics residents and internal medicine residents in an academic practice.<h4>Measurements</h4>The survey was designed ...[more]

PMID: 14527978

Similar Datasets

Project description:Super-resolution (SR) techniques are used in PET imaging to generate a high-resolution image by combining multiple low-resolution images that have been acquired from different points of view (POV). In this article, the authors propose a novel implementation of the SR technique whereby the required multiple low-resolution images are generated by shifting the reconstruction pixel grid during the image reconstruction process rather than being acquired from different POVs. The objective of this article is to compare the performances of the two SR implementations using theoretical and experimental studies. A mathematical framework is first provided to support the hypothesis that the two SR implementations have similar performance in current PET/CT scanners that use block detectors. Based on this framework, a simulation study, a point source study, and a NEMA/IEC phantom study were conducted to compare the performance of these two SR implementations with respect to contrast, resolution, noise, and SNR. For reference purposes, a comparison with a native reconstruction (NR) image using a high-resolution pixel grid was also performed. The mathematical framework showed that the two SR implementations are expected to achieve similar contrast and resolution but different noise contents. These results were confirmed by the simulation and experimental studies. The simulation study showed that the two SR implementations have an average contrast difference of 2.3%, while the point source study showed that their average differences in contrast and resolution were 0.5% and 1.2%, respectively. Comparisons between the SR and NR images for the point source study showed that the NR image exhibited averages of 30% and 8% lower contrast and resolution, respectively. The NEMA/IEC phantom study showed that the three images (two SR and NR) exhibited different noise structures. The SNR of the new SR implementation was, on average, 21.5% lower than the original implementation largely due to an increase in background noise, while the NR image had averages of 18.5% and 8% lower SNR and contrast, respectively, versus the two SR images. The new SR implementation can potentially replace the original SR approach in current PET scanners that use block detectors while maintaining similar contrast and resolution, but at a relatively lower SNR. A major advantage of the new SR implementation is its shorter overall scan duration which results in an increase in scanner throughput and a reduction in patient motion.

Dataset Information

Take note(s): differential EHR satisfaction with two implementations under one roof.

Publications

Take note(s): differential EHR satisfaction with two implementations under one roof.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure