Satisfaction and perceived usefulness with newly-implemented Electronic Health Records System among pediatricians at a university hospital

Fahad Alsohime; Mohamad-Hani Temsah; Ayman Al-Eyadhy; Fahad A Bashiri; Mowafa Househ; Amr Jamal; Gamal Hasan; Ali A Alhaboob; Majed Alabdulhafid; Yasser S Amer

doi:10.1016/j.cmpb.2018.12.026

Satisfaction and perceived usefulness with newly-implemented Electronic Health Records System among pediatricians at a university hospital

Comput Methods Programs Biomed. 2019 Feb:169:51-57. doi: 10.1016/j.cmpb.2018.12.026. Epub 2018 Dec 26.

Authors

Affiliations

¹ Pediatrics Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia; Pediatric Intensive Care Unit, King Saud University Medical City, Riyadh, Saudi Arabia.
² Pediatrics Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia; Pediatric Intensive Care Unit, King Saud University Medical City, Riyadh, Saudi Arabia; Prince Abdullah Ben Khaled Celiac Disease Research Chair, King Saud University, Riyadh, Saudi Arabia. Electronic address: mtemsah@ksu.edu.sa.
³ Pediatrics Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia; Division of Neurology, Department of Pediatrics, King Khalid University Hospital, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
⁴ College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Ministry of National Guard - Health Affairs, Riyadh, Kingdom of Saudi Arabia.
⁵ Family and Community Medicine Department, King Saud University, Riyadh, Saudi Arabia.
⁶ Pediatric Intensive Care Unit, King Saud University Medical City, Riyadh, Saudi Arabia; Pediatric Department, Assiut Faculty of Medicine, Assiut University, Assiut, Egypt.
⁷ Pediatrics Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia; Clinical Practice Guidelines Unit, Quality Management Department, King Saud University Medical City, Riyadh, Saudi Arabia; Research Chair for Evidence-Based Health Care and Knowledge Translation, King Saud University, Riyadh, Saudi Arabia.

PMID: 30638591
DOI: 10.1016/j.cmpb.2018.12.026

Abstract

Background: Apposite implementation of Electronic Health Records (EHR) is anchoring standards of care in healthcare settings by reducing long-run operational costs, improving healthcare quality, and enhancing patient safety.

Objective: This study aims to explore factors that might influence Pediatricians' satisfaction with an implemented EHR system and its perceived usefulness at a tertiary-care teaching hospital, Riyadh, Saudi Arabia.

Methods: A cross-sectional survey distributed to all physicians working in the pediatric department of King Saud University Medical City (KSUMC) in the period from June to November 2015, two months after the launch of the EHR system, internally branded as electronic system for integrated health information (eSiHi). Bivariate and multivariate regression were analyzed to examine factors associated with physicians' satisfaction.

Results: Of the 112 physicians who completed the survey, 97 (86.6%) attended training courses before the implementation of new EHR. On average, the participants rated the perceived usefulness of the new system at 6.4/10 for patient care and physicians' satisfaction levels were 5.2/10. The top indicator of EHR usefulness was the system's ability to reduce errors and improve the quality of care [mean 3.31, SD 0.9, RII 82.8%]; the lowest-ranking indicator was the physicians' perceived familiarity with functions and benefits [mean 2.68, SD 0.7, RII 67%]. The top indicator of satisfaction with the EHR system was enhanced "individual performance" [mean 3.04, SD 1, RII 60.9%]; the lowest-ranking perceived indicator was the limited availability of workplace computers [mean 1.91, SD 1.2, RII 38.2%].

Conclusions: Limited data regarding EHR implementation and end-users satisfaction in the Middle East region necessitates further work on factors affecting levels of satisfaction with the EHR system among different health institutes. Lack of information technology (IT) support, hardware, and time-consuming data entry process are challenging barriers for proper utilization of EHR for pediatric health care services.

Keywords: Electronic Health Record; Pediatrics; Physicians; Satisfaction; Usefulness.

MeSH terms

Adult
Attitude to Computers*
Cross-Sectional Studies
Diffusion of Innovation*
Electronic Health Records*
Female
Hospitals, University*
Humans
Male
Middle Aged
Pediatricians / psychology*
Saudi Arabia