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End-User Expectations During an Electronic Health Record Implementation: a Case Study in Two Academic Hospitals

机译：在电子健康记录实施期间的最终用户期望：两个学术医院的案例研究

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摘要

Implementing an Electronic Health Record (EHR) is a sociotechnical process. End-users' expectations and attitudes need to be monitored during the implementation of a new EHR. It is not clear what end-users consider the most important determinants (both barriers and enablers for a successful EHR implementation) during this process. Based on the concept mapping method and a literature search we developed a questionnaire to investigate which determinants (future) end-users of an EHR consider important. Additionally we analysed whether there are differences between a centre working with a legacy EHR and one with paper-based patient records before implementation. We identified the following determinants: usability of EHR, availability of facilities, alignment with work processes, support during implementation, training on new EHR, support after implementation, practice with new EHR, internal communication, learning from other centres, reuse of patient data, general IT skills, and patient involvement in decision making. All determinants were perceived important by end-users to successfully work with an EHR directly after its go-live. The only two significant differences between centres were knowledge about the effect of the EHR on work processes, and importance of patient involvement in decision making.
机译：实施电子健康记录（EHR）是一个社会技术过程。在实施新的EHR期间，需要监测最终用户的期望和态度。目前尚不清楚最终用户在此过程中考虑最重要的决定因素（障碍和ehr实施的推动者）。基于概念映射方法和文献搜索，我们开发了一个调查问卷来调查EHR考虑到重要的决定因素（未来）最终用户。此外，我们分析了在实施之前与遗留EHR和一个带有纸质患者记录的中心工作的差异是否存在差异。我们确定了以下决定因素：EHR的可用性，设施的可用性，与工作流程的一致性，实施过程中的支持，新的EHR培训，实施后，使用新的EHR，内部沟通，从其他中心进行内部沟通，患者数据，一般IT技能，患者参与决策。所有决定因素都被最终用户感到很重要，以便直接在上去后直接与EHR合作。中心之间的唯一显着差异是关于EHR对工作过程的影响的知识，以及患者参与决策的重要性。

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