tailieunhanh - báo cáo khoa học: " ’To take care of the patients’: Qualitative analysis of Veterans Health Administration personnel experiences with a clinical informatics system"

’Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: To take care of the patients’: Qualitative analysis of Veterans Health Administration personnel experiences with a clinical informatics system | Bonner et al. Implementation Science 2010 5 63 http content 5 1 63 Implementation Science IMPLEMENTATION SCIENCE RESEARCH ARTICLE Open Access To take care of the patients Qualitative analysis of Veterans Health Administration personnel experiences with a clinical informatics system I .1 I .I It l R inndr1 2 R I TI 1 I ll lico R P i l d 3 4 It 1 .1 1 14 6 lỀn ì R ICii H i OK 7 4 4 Laura M Bonner Carol E Simons Louise E rdikei Elizabeth M lano JUAIIII E MiEHnei Abstract Background The Veterans Health Administration VA has invested significant resources in designing and implementing a comprehensive electronic health record EHR that supports clinical priorities. EHRs in general have been difficult to implement with unclear cost-effectiveness. We describe VA clinical personnel interactions with and evaluations of the EHR. Methods As part of an evaluation of a quality improvement initiative we interviewed 72 VA clinicians and managers using a semi-structured interview format. We conducted a qualitative analysis of interview transcripts examining themes relating to participants interactions with and evaluations of the VA EHR. Results Participants described their perceptions of the positive and negative effects of the EHR on their clinical workflow. Although they appreciated the speed and ease of documentation that the EHR afforded they were concerned about the time cost of using the technology and the technology s potential for detracting from interpersonal interactions. Conclusions VA personnel value EHRs contributions to supporting communication education and documentation. However participants are concerned about EHRs potential interference with other important aspects of healthcare such as time for clinical care and interpersonal communication with patients and colleagues. We propose that initial implementation of an EHR is one step in an iterative process of ongoing quality improvement. Background Recent research and national healthcare