Electronic health information in use

Characteristics that support employee workflow and patient care

Alissa L. Russ, Jason J. Saleem, Connie F. Justice, Heather Woodward-Hagg, Peter A. Woodbridge, Bradley Doebbeling

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

The aim of this investigation was to assess helpful and challenging aspects of electronic health information with respect to clinical workflow and identify a set of characteristics that support patient care processes. We conducted 20 semi-structured interviews at a Veterans Affairs Medical Center, with a fully implemented electronic health record (EHR), and elicited positive and negative examples of how information technology (IT) affects the work of healthcare employees. Responses naturally shed light on information characteristics that aid work processes. We performed a secondary analysis on interview data and inductively identified characteristics of electronic information that support healthcare workflow. Participants provided 199 examples of how electronic information affects workflow. Seventeen characteristics emerged along with four primary domains: trustworthy and reliable; ubiquitous; effectively displayed; and adaptable to work demands. Each characteristic may be used to help evaluate health information technology pre- and post-implementation. Results provide several strategies to improve EHR design and implementation to better support healthcare workflow.

Original languageEnglish (US)
Pages (from-to)287-305
Number of pages19
JournalHealth Informatics Journal
Volume16
Issue number4
DOIs
StatePublished - Dec 2010
Externally publishedYes

Fingerprint

Workflow
Patient Care
Electronic Health Records
Health
Delivery of Health Care
Interviews
Medical Informatics
Veterans
Technology

Keywords

  • data display
  • electronic health record
  • human factors
  • medical informatics applications

ASJC Scopus subject areas

  • Health Informatics

Cite this

Electronic health information in use : Characteristics that support employee workflow and patient care. / Russ, Alissa L.; Saleem, Jason J.; Justice, Connie F.; Woodward-Hagg, Heather; Woodbridge, Peter A.; Doebbeling, Bradley.

In: Health Informatics Journal, Vol. 16, No. 4, 12.2010, p. 287-305.

Research output: Contribution to journalArticle

Russ, Alissa L. ; Saleem, Jason J. ; Justice, Connie F. ; Woodward-Hagg, Heather ; Woodbridge, Peter A. ; Doebbeling, Bradley. / Electronic health information in use : Characteristics that support employee workflow and patient care. In: Health Informatics Journal. 2010 ; Vol. 16, No. 4. pp. 287-305.
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