• January 26, 2022

Poor EHR design results in nurse burnout, larger surgical affected person mortality, examine finds

Jun 11, 2021

Poorly designed digital well being document methods could speed up clinician burnout and improve dangers security dangers for sufferers having surgical procedure, in accordance with a brand new examine printed in Medical Care, the journal of the medical care part of the American Public Well being Affiliation.

The examine, which included 12,004 nurses, 1.3 million surgical sufferers and 343 hospitals in 4 states, discovered that surgical sufferers receiving care in hospitals with poor EHR usability had been 21% extra prone to die within the hospital after their procedures and 6% extra prone to be readmitted inside 30 days than these being handled in hospitals with higher EHR usability.

“EHR methods with poor usability can considerably hinder a nurse’s means to rapidly entry trusted info for determination making and communication with different members of the well being care group,” the authors famous. “Lapses in these essential care processes could contribute to vital delays or interruptions to the availability of each inpatient and post-discharge care, and in flip, medical errors and different poor outcomes.”

The authors—from the College of Pennsylvania College of Nursing and Corporal Michael J. Crescenz VA Medical Heart—will not be the primary to warn in regards to the impression of EHRs on affected person security. In truth, in 2019, ECRI Institute flagged poor communication of take a look at outcomes and prognosis inside EHRs as one in every of its prime 10 security issues for that 12 months.

For this most up-to-date examine, the authors judged EHR usability by nurses’ responses to questions on how simple it was to entry affected person info rapidly, how a lot the system interfered with affected person care, how simple it was to make use of, how a lot they trusted the system’s affected person evaluation and medicine information, how a lot the system helped them full work effectively and the way simple it was to share info with different well being group members.

Including to issues about affected person security, the examine discovered that EHR design can considerably impression nurse job satisfaction. Nurses working with methods that had poor usability had been 41% extra prone to expertise burnout than these with higher working EHRs, 61% extra prone to be dissatisfied with their job and 31% extra prone to wish to depart their place.

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