Implementation of an electronic health records system in a small clinic: the viewpoint of clinic staff

In this research, we examined the implementation of electronic medical record (EHR) system at a small family clinic. We use three data collection tools to evaluate the user experience, work pattern changes, and organization changes related to the implementation and use of the EHR system. (1) EHR user survey, and (2) interview with key staff related to EHR implementation project, 3) Analysis of clinical staff's work A vertical design with 2 data collection rounds was used: data Collected before and after EHR implementation. Collect and analyze quantitative and qualitative data. In addition to increased dependency on computers and slightly increased perceived workload, small clinic employees believe that work has changed little since the introduction of the EHR system. According to the work analysis, the time spent on various computers of various occupations is greatly increased. Implementation of EHR did not change the time the doctor spent with the patient. On the other hand, the work of clinical and office workers has changed dramatically, including the time it takes to distribute charts, postings and other administrative tasks. In the interview, important background information on the implementation of the EHR was provided and several positive factors (eg training programs) were presented, but there are also some noteworthy negative factors (eg the project structure is not clear There are also).

It seems that implementation of electronic health record is not simple. Electronic charts are not a single system but a collection of interlocking systems related to complex linked clinical and management workflows. Implementation of electronic medical records is still controversial, as can be seen from the fact that the implementation process has taken a long time to research and develop efficiency strategies in related fields. Today, Internet technology is gradually diversifying, and all major companies on the Internet have adopted Internet technology to shorten time and improve work efficiency. Improve efficiency. These changes are very large as electronic medical record-related initiatives are about to implement a comprehensive healthcare solution.

Introduction Electronic medical records, also referred to as EMR systems, are health related information on electronically recorded people and include information that can be created, managed, referenced, and collected by employees and clinics approved by a specific medical facility (Skolnik), 2011). The use of EMR brings significant benefits to clinical practice, medical institutions and doctors. In addition, the use of these systems will facilitate workflow and help improve patient safety and quality of service. In the United States, the use of EMR is gradually adopted. However, as many healthcare centers are still reluctant to use them, they are not universal (Skolnik, 2011). This is due to the challenges posed by the implementation of the system. In this article I will describe some issues related to the use of electronic medical records.