Patient safety perspectives of providers and nurses

The experience of a rural ambulatory care practice using an EHR with E-prescribing

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Purpose: The purpose of this study was to identify and describe safety improvements and concerns indicated by providers and nurses in a rural community ambulatory care practice using an electronic health record with an e-prescribing feature (EHR with eRx). Methods: Two focus groups were conducted; 1 with providers and the other with nurses. Participants responded to questions and discussed their perceptions of safety improvements and concerns with use of an EHR with eRx. Transcripts were analyzed using sequential and continuous analytic methods. Findings: Three themes centered on efficiency and patient safety emerged from data analysis: (1) EHR with eRx adoption has led to new improvements and concerns for patient safety, (2) the EHR with eRx has affected efficiency in the clinic, and (3) EHR with eRx adoption has led to workarounds. Conclusions: Concerns remain among providers and nurses regarding the use of EHR with eRx applications, although concerns differed between groups. Therefore, When EHR improvements are planned, it is important to consider the differing needs of the professionals who deliver care.

Original languageEnglish
Pages (from-to)383-391
Number of pages9
JournalJournal of Rural Health
Volume29
Issue number4
DOIs
StatePublished - Sep 2013

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Electronic Prescribing
Patient Safety
Ambulatory Care
Nurses
Safety
Electronic Health Records
Rural Population
Focus Groups

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

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abstract = "Purpose: The purpose of this study was to identify and describe safety improvements and concerns indicated by providers and nurses in a rural community ambulatory care practice using an electronic health record with an e-prescribing feature (EHR with eRx). Methods: Two focus groups were conducted; 1 with providers and the other with nurses. Participants responded to questions and discussed their perceptions of safety improvements and concerns with use of an EHR with eRx. Transcripts were analyzed using sequential and continuous analytic methods. Findings: Three themes centered on efficiency and patient safety emerged from data analysis: (1) EHR with eRx adoption has led to new improvements and concerns for patient safety, (2) the EHR with eRx has affected efficiency in the clinic, and (3) EHR with eRx adoption has led to workarounds. Conclusions: Concerns remain among providers and nurses regarding the use of EHR with eRx applications, although concerns differed between groups. Therefore, When EHR improvements are planned, it is important to consider the differing needs of the professionals who deliver care.",
author = "Bramble, {James D.} and Abbott, {Amy A.} and Fuji, {Kevin T.} and Karen Paschal and Mark Siracuse and Galt, {Kimberly A.}",
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AU - Bramble, James D.

AU - Abbott, Amy A.

AU - Fuji, Kevin T.

AU - Paschal, Karen

AU - Siracuse, Mark

AU - Galt, Kimberly A.

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