GLORIA

GEOMAR Library Ocean Research Information Access

X

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
Filter
  • Meyerhoefer, Chad D  (2)
Material
Publisher
Person/Organisation
Language
Years
  • 1
    Online Resource
    Online Resource
    Provider and patient satisfaction with the integration of ambulatory and hospital EHR systems
    Oxford University Press (OUP) ; 2018
    In:  Journal of the American Medical Informatics Association Vol. 25, No. 8 ( 2018-08-01), p. 1054-1063
    Details
    In: Journal of the American Medical Informatics Association, Oxford University Press (OUP), Vol. 25, No. 8 ( 2018-08-01), p. 1054-1063
    Abstract: The installation of EHR systems can disrupt operations at clinical practice sites, but also lead to improvements in information availability. We examined how the installation of an ambulatory EHR at OB/GYN practices and its subsequent interface with an inpatient perinatal EHR affected providers’ satisfaction with the transmission of clinical information and patients’ ratings of their care experience. Methods We collected data on provider satisfaction through 4 survey rounds during the phased implementation of the EHR. Data on patient satisfaction were drawn from Press Ganey surveys issued by the healthcare network through a standard process. Using multivariable models, we determined how provider satisfaction with information transmission and patient satisfaction with their care experience changed as the EHR system allowed greater information flow between OB/GYN practices and the hospital. Results Outpatient OB/GYN providers became more satisfied with their access to information from the inpatient perinatal triage unit once system capabilities included automatic data flow from triage back to the OB/GYN offices. Yet physicians were generally less satisfied with how the EHR affected their work processes than other clinical and non-clinical staff. Patient satisfaction dropped after initial EHR installation, and we find no evidence of increased satisfaction linked to system integration. Conclusions Dissatisfaction of providers with an EHR system and difficulties incorporating EHR technology into patient care may negatively impact patient satisfaction. Care must be taken during EHR implementations to maintain good communication with patients while satisfying documentation requirements.
    Type of Medium: Online Resource
    ISSN: 1067-5027 , 1527-974X
    URL: Article
    DOI: 10.1093/jamia/ocy048
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2018
    detail.hit.zdb_id: 2018371-9
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 2
    Online Resource
    Online Resource
    A mixed methods study of clinical information availability in obstetric triage and prenatal offices
    Oxford University Press (OUP) ; 2017
    In:  Journal of the American Medical Informatics Association Vol. 24, No. e1 ( 2017-04-01), p. e87-e94
    Details
    In: Journal of the American Medical Informatics Association, Oxford University Press (OUP), Vol. 24, No. e1 ( 2017-04-01), p. e87-e94
    Abstract: Objective: To determine the effect of availability of clinical information from an integrated electronic health record system on pregnancy outcomes at the point of care. Materials and methods: We used provider interviews and surveys to evaluate the availability of pregnancy-related clinical information in ambulatory practices and the hospital, and applied multiple regression to determine whether greater clinical information availability is associated with improvements in pregnancy outcomes and changes in care processes. Our regression models are risk adjusted and include physician fixed effects to control for unobservable characteristics of physicians that are constant across patients and time. Results: Making nonstress test results, blood pressure data, antenatal problem lists, and tubal sterilization requests from office records available to hospital-based providers is significantly associated with reductions in the likelihood of obstetric trauma and other adverse pregnancy outcomes. Better access to prenatal records also increases the probability of labor induction and decreases the probability of Cesarean section (C-section). Availability of lab test results and new diagnoses generated in the hospital at ambulatory offices is associated with fewer preterm births and low-birth-weight babies. Discussion and conclusions: Increased availability of specific clinical information enables providers to deliver better care and improve outcomes, but some types of clinical data are more important than others. More available information does not always result from automated integration of electronic records, but rather from the availability of the source records. Providers depend upon information that they trust to be reliable, complete, consistent, and easily retrievable, even if this requires multiple interfaces.
    Type of Medium: Online Resource
    ISSN: 1067-5027 , 1527-974X
    URL: Article
    DOI: 10.1093/jamia/ocw113
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2017
    detail.hit.zdb_id: 2018371-9
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...