Skip to main content

Exploring Training Issues in Healthcare: Towards Identifying Barriers to Increase Electronic Medical Records Adoption by Healthcare Professionals

  • Conference paper
Book cover Information Quality in e-Health (USAB 2011)

Part of the book series: Lecture Notes in Computer Science ((LNPSE,volume 7058))

Included in the following conference series:

Abstract

Many healthcare organizations in the U.S are working on the implementation of Electronic Medical Record (EMR) Systems. This literature review identifies technology training related factors that hinder adoption of technologies by clinical and non-clinical staff during implementation. We present the important concepts as defined by the literature within EMR context and the importance of analyzing training barriers and the role of Human-centered computing (HCC) in healthcare. We conclude that there is a need to create specific HCC focused training guidelines to effectively train end users in the healthcare domain. Major concepts of these guidelines can include consistency in training, providing feedback, reducing cognitive load and recognizing user diversity which includes understanding the user profiles and tasks required for those users functioning in a time-pressured environment such as healthcare.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Patterson, E.S., Nguyen, A.D., Halloran, J.M., Asch, S.M.: Human factors barriers to the effective use of ten HIV clinical reminders. J. Am. Med. Inform. Assoc. 11-1, 50–59 (2004)

    Article  Google Scholar 

  2. Anderson, J.: What are the Challenges for Health Care in Learning from Other Industries? Beyond Traditional Patient Safety Tools and Techniques 28-1, 4–5 (2010)

    Google Scholar 

  3. Thomas, E.J., Helmreich, R.L.: Will airline safety models work in medicine? In: Sutcliffe, K.M., Rosenthal, M.M. (eds.) Medical Error, pp. 217–234. Jossey-Bass, San Francisco (2002)

    Google Scholar 

  4. Jaimes, A., Sebe, N., Gatica-Perez, D.: Human-centered computing: a multimedia perspective. In: Proceedings of the 14th Annual ACM Interaction Conference on Multimedia, Santa Barbara, CA, USA (2006)

    Google Scholar 

  5. Gajos, K., Fox, H., Shrobe, H.: End user empowerment in human centered pervasive computing. In: Proceedings of Pervasive, pp. 1–7 (2002)

    Google Scholar 

  6. Locsin, R.C.: Technological competency as caring in nursing: A model for practice. Sigma Theta Tau International, Indianapolis (2005)

    Google Scholar 

  7. Ford, E.W., Menachemi, N., Phillips, M.T.: Predicting the adoption of electronic health records by physicians: When will health care be paperless? J. Am. Med. Inform. Assoc. 13-1, 106–112 (2006)

    Article  Google Scholar 

  8. EHR Usability Task Force, Defining and Testing EMR Usability: Principles and Proposed Methods of EMR Usability Evaluation and Rating. In: Healthcare Information Management Systems Society (2009)

    Google Scholar 

  9. Ebadollahi, S., Chang, S.-F., Syeda-mahmood, T., Coden, A.R., Amir, A., Tanenblatt, M.A.: Concept-Based Electronic Health Records: Opportunities and Challenges. In: Multimedia, pp. 997–1006 (2006)

    Google Scholar 

  10. Weed, L.L.: Medical records that guide and teach (Part I). NEJM 278-11(11), 593–599 (1968)

    Article  Google Scholar 

  11. Matsumura, Y., Kuwata, S., Kusuoka, H., et al.: Dynamic viewer of medical events in electronic medical record. Medinfo 10, 648–652 (2001)

    Google Scholar 

  12. Stephen, V., Cantrill, M.D.: FACEP.: Computers in Patient Care: The Promise and the Challenge. ACM Queue 8-8, 20–27 (2010)

    Google Scholar 

  13. Wang, S.J., et al.: A Cost-Benefit Analysis of Electronic Medical Records in Primary Care. J of Medicine 114, 397–402 (2003)

    Article  Google Scholar 

  14. Hollingworth, W., Devine, E.B., Hansen, R.N., Lawless, N.M., Comstock, B.A., Wilson-Norton, J.A., et al.: The impact of e-prescribing on prescriber and staff time in ambulatory care clinics: a time-motion study. The Journal of the American Medical Informatics Association 14-6, 722–730 (2007)

    Article  Google Scholar 

  15. Zhou, L., Soran, C.S., Jenter, C.A.: The relationship between electronic health record use and quality of care over time. J. Am. Med. Inform. Assoc. 16, 457–464 (2009)

    Article  Google Scholar 

  16. Anderson, D.M., Asher, L.M., Wilson, E.A.: Physician computer skills: a prerequisite to the future in healthcare services. J. Kentucky Medical Association 105-2, 67–71 (2009)

    Google Scholar 

  17. Davis, K., Doty, M.M., Shea, K., Stremiks, K.: Health information technology and physician perceptions of quality of care and satisfaction. Health Policy 90 (2009)

    Google Scholar 

  18. Swartz.: Americans prefer electronic health record. The Information Management Journal 4-8 (2007)

    Google Scholar 

  19. U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services 42 CFR Parts 412, 413, 422 et al. Medicare and Medicaid Programs; Electronic Health Record Incentive Program; Final Rule

    Google Scholar 

  20. Karnas, J., Robies, J.: Implementing the electronic medical record: Big bang or phased rollout? Creative Nursing 2, 13–14 (2007)

    Google Scholar 

  21. Zhang, J., Patel, V.L., Johnson, K.A.: Panel Presentation. In: IEEE Intelligent Systems (2002)

    Google Scholar 

  22. Ash, J.S., Bates, D.W.: Factors and forces affecting EHR adoption: Report of a 2004 ACMI discussion. Journal of the American Medical Informatics Association 12-1, 8–12 (2005)

    Google Scholar 

  23. Deese, D., Stein, M.: The ultimate health care IT consumers: How nurses transform patient data into a powerful narrative of improved care. Nursing Economics 22-6, 336–341 (2004)

    Google Scholar 

  24. Ventres, W., Kooienga, S., Vuckovic, N., Marlin, R., Nygren, P., et al.: Physicians, patients, and the electronic health record: An ethnographic analysis. Ann. Fam. Med. 4, 124–131 (2006)

    Article  Google Scholar 

  25. Ludwick, D., Manca, D., Doucette, J.: Primary care physicians’ experiences with electronic medical records. Implementation experience in community, urban, hospital, and academic family medicine. Can Fam Physician 56-40 (2010)

    Google Scholar 

  26. Granlien, M.S., Hertzum, M.: Implementing new ways of working: interventions and their effect on the use of an electronic medication record. In: Proceedings of the ACM 2009 International Conference on Supporting Group Work, Sanibel Island, Florida, USA. ACM (2009)

    Google Scholar 

  27. Davis, D.F.: Perceived usefulness, perceived ease of use and user acceptance of information technology. MIS Quarterly 13(3), 319–340 (1989)

    Article  Google Scholar 

  28. Liu, L., Ma, Q.: Perceived system performance: a test of an extended technology acceptance model. ACM SIGMIS Database 37, 2–3 (2006)

    Article  Google Scholar 

  29. Cimino, J.J., Teich, J.M., Patel, V.L., Zhang, J.: What is wrong with EMR? Panel proposal for AMIA 1999 (1999)

    Google Scholar 

  30. Boonstra, A., Broekhuis, M.: Barriers to the acceptance of electronic medical records by physicians from systematic review to taxonomy and interventions. BMC Health Serv. Res. 10-231 (2010)

    Google Scholar 

  31. Pizziferri, L., Kittler, A.F., Volk, L.A., Honour, M.M., Gupta, S., Wang, S., Wang, T., Lippincott, M., Li, Q., Bates, D.W.: Primary Care Physician Time Utilization Before and After Implementation of an Electronic Health Record: A time-motion Study. Journal of Biomedical Informatics 38-3, 176–188 (2005)

    Article  Google Scholar 

  32. Shachak, A., Hadas-Dayagi, M., Ziv, A., Reis, S.: Primary Care Physicians’ Use of an Electronic Medical Record System: A Cognitive Task Analysis. Journal of General Internal Medicine 24-3, 341–348 (2009)

    Article  Google Scholar 

  33. Earnest, M.A., Ross, S.E., Wittevrongel, L., et al.: Use of a Patient-Accessible Electronic Medical Record in a Practice for Congestive Heart Failure: Patient and Physician Experiences. Journal of the American Medical Informatics Association 11-5, 410–417 (2004)

    Article  Google Scholar 

  34. Holzinger, A., Searle, G., Wernbacher, M.: The effect of previous exposure to technology on acceptance and its importance in usability and accessibility engineering. Universal Access in the Information Society 10-3, 245–260 (2011)

    Article  Google Scholar 

  35. Schoolfield, M., Orduna, A.: Understanding staff nurse responses to change: Utilization of a grief-change framework to facilitate innovation. Clinical Nurse Specialist 8, 57–62 (1994)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Patel, A.A., Ozok, A.A. (2011). Exploring Training Issues in Healthcare: Towards Identifying Barriers to Increase Electronic Medical Records Adoption by Healthcare Professionals. In: Holzinger, A., Simonic, KM. (eds) Information Quality in e-Health. USAB 2011. Lecture Notes in Computer Science, vol 7058. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-25364-5_47

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-25364-5_47

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-25363-8

  • Online ISBN: 978-3-642-25364-5

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics