Charting the course: Insights into EMR usability from Australian clinicians – A national survey

Electronic Medical Record Systems (EMRs) are integral to the work of nursing, medical and allied health professionals in Australia and other countries. Successful adoption of EMR systems is reliant upon their usability and effective use. Usability issues impact safety and quality, workflow, communi...

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Main Authors: Sheree Lloyd, Abraham Oshni Alvandi, Yasmine Probst, Jeremy Roach, Richard Olley, Christopher Bain
Format: Article
Language:English
Published: Finnish Social and Health Informatics Association 2024-12-01
Series:Finnish Journal of eHealth and eWelfare
Subjects:
Online Access:https://journal.fi/finjehew/article/view/147334
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author Sheree Lloyd
Abraham Oshni Alvandi
Yasmine Probst
Jeremy Roach
Richard Olley
Christopher Bain
author_facet Sheree Lloyd
Abraham Oshni Alvandi
Yasmine Probst
Jeremy Roach
Richard Olley
Christopher Bain
author_sort Sheree Lloyd
collection DOAJ
description Electronic Medical Record Systems (EMRs) are integral to the work of nursing, medical and allied health professionals in Australia and other countries. Successful adoption of EMR systems is reliant upon their usability and effective use. Usability issues impact safety and quality, workflow, communication, and collaboration. The objective of the study was to measure clinician (nurse, medical and allied health professionals) experience of EMR usability in Australia. We conducted an observational study using a validated, cross-sectional survey, the National Usability-focused Health Information System Scale (NuHISS). Thirteen usability statements collect clinician impressions of EMRs related to ease of use, benefits and collaboration and technical quality. This paper presents responses of Australian clinicians using EMRs in primary care, hospitals and public and private sectors. In 2023, 534 health professionals from Australia submitted valid survey responses. The largest respondent group comprised nurses and midwives, working in publicly funded hospitals and having over three years of experience with the EMR mainly used. A majority (69%) agreed that the EMR system is stable and does not crash and 62% felt that the system responds quickly to inputs. Regarding ease of use of the EMR, 50% disagreed that the arrangement of fields and functions is logical, while 58% found the terminology clear and understandable. Sixty-two percent (62%) disagreed that routine tasks can be performed without extra steps, and 65% felt that significant training to learn the EMR is required. Although 63% agreed it is easy to obtain necessary patient information, 45% disagreed that entering and documenting data is quick and smooth. There were mixed responses regarding the EMR system's role in preventing medication errors, with 50% agreeing that it helps prevent errors and 27% disagreeing. There was agreement (74%) that the EMR system supports collaboration and information sharing within the same health service. Respectively, 51% and 47% disagreed regarding support of their EMR for collaboration between different health services and between clinicians and patients. We highlight the importance of understanding clinicians’ experiences with EMR usability. Our findings suggest areas where EMR usability can be strengthened to enhance user experience and support clinicians in delivering high quality, safe care. The study’s findings provide valuable insights for EMR system developers, vendors, and healthcare organisations, emphasising the need to improve usability to realise the full benefits of EMRs and support a digitally enabled healthcare system. Addressing these issues through targeted interventions is essential to enhance clinician satisfaction with the EMRs used, reduce burnout and improve patient care.
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spelling doaj-art-6d63e3fad8904e058bab367a7f11e3d02025-01-05T04:52:04ZengFinnish Social and Health Informatics AssociationFinnish Journal of eHealth and eWelfare1798-07982024-12-0116410.23996/fjhw.147334Charting the course: Insights into EMR usability from Australian clinicians – A national surveySheree Lloyd0Abraham Oshni Alvandi1Yasmine Probst2Jeremy Roach3Richard Olley4Christopher Bain5University of TasmaniaThe Australasian College for Emergency MedicineUniversity of Wollongong, AustraliaAlphalake AiGriffith University, Queensland AustraliaMonash University Electronic Medical Record Systems (EMRs) are integral to the work of nursing, medical and allied health professionals in Australia and other countries. Successful adoption of EMR systems is reliant upon their usability and effective use. Usability issues impact safety and quality, workflow, communication, and collaboration. The objective of the study was to measure clinician (nurse, medical and allied health professionals) experience of EMR usability in Australia. We conducted an observational study using a validated, cross-sectional survey, the National Usability-focused Health Information System Scale (NuHISS). Thirteen usability statements collect clinician impressions of EMRs related to ease of use, benefits and collaboration and technical quality. This paper presents responses of Australian clinicians using EMRs in primary care, hospitals and public and private sectors. In 2023, 534 health professionals from Australia submitted valid survey responses. The largest respondent group comprised nurses and midwives, working in publicly funded hospitals and having over three years of experience with the EMR mainly used. A majority (69%) agreed that the EMR system is stable and does not crash and 62% felt that the system responds quickly to inputs. Regarding ease of use of the EMR, 50% disagreed that the arrangement of fields and functions is logical, while 58% found the terminology clear and understandable. Sixty-two percent (62%) disagreed that routine tasks can be performed without extra steps, and 65% felt that significant training to learn the EMR is required. Although 63% agreed it is easy to obtain necessary patient information, 45% disagreed that entering and documenting data is quick and smooth. There were mixed responses regarding the EMR system's role in preventing medication errors, with 50% agreeing that it helps prevent errors and 27% disagreeing. There was agreement (74%) that the EMR system supports collaboration and information sharing within the same health service. Respectively, 51% and 47% disagreed regarding support of their EMR for collaboration between different health services and between clinicians and patients. We highlight the importance of understanding clinicians’ experiences with EMR usability. Our findings suggest areas where EMR usability can be strengthened to enhance user experience and support clinicians in delivering high quality, safe care. The study’s findings provide valuable insights for EMR system developers, vendors, and healthcare organisations, emphasising the need to improve usability to realise the full benefits of EMRs and support a digitally enabled healthcare system. Addressing these issues through targeted interventions is essential to enhance clinician satisfaction with the EMRs used, reduce burnout and improve patient care. https://journal.fi/finjehew/article/view/147334usabilityuser experienceelectronic medical recordhealth professional
spellingShingle Sheree Lloyd
Abraham Oshni Alvandi
Yasmine Probst
Jeremy Roach
Richard Olley
Christopher Bain
Charting the course: Insights into EMR usability from Australian clinicians – A national survey
Finnish Journal of eHealth and eWelfare
usability
user experience
electronic medical record
health professional
title Charting the course: Insights into EMR usability from Australian clinicians – A national survey
title_full Charting the course: Insights into EMR usability from Australian clinicians – A national survey
title_fullStr Charting the course: Insights into EMR usability from Australian clinicians – A national survey
title_full_unstemmed Charting the course: Insights into EMR usability from Australian clinicians – A national survey
title_short Charting the course: Insights into EMR usability from Australian clinicians – A national survey
title_sort charting the course insights into emr usability from australian clinicians a national survey
topic usability
user experience
electronic medical record
health professional
url https://journal.fi/finjehew/article/view/147334
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