To build theory about how to achieve expected benefits from a system implementation, we conducted a longitudinal study of the implementation of an electronic health record (EHR) system at a multi-site clinic using grounded theory methods and a critical realist perspective. We developed a mid-level process theory of how clinics actualize affordances arising from the implementation of an EHR. In ...

OBJECTIVE The aim of this study was to develop a survey tool to assess electronic health record (EHR) implementation to guide improvement initiatives. BACKGROUND Survey tools are needed for ongoing improvement and have not been developed for aspects of EHR implementation. METHODS The Baylor EHR User Experience (UX) survey was developed to capture 5 concept domains: training and competency, ...

OBJECTIVE The Massachusetts e-Health Collaborative (MAeHC) is implementing electronic health records (EHRs) in physicians' offices throughout three diverse communities. This study's objective was to assess the degree to which these practices are representative of physicians' practices statewide. DESIGN We surveyed all MAeHC physicians (n=464) and compared their responses to those of a contemp...

in order to reach the electronic health record's (ehr's) goals and also for the users to employ it with confidence, integrated standards in the field of structure, content, data exchange, information production, architecture and system security must be formulated. before establishment of ehr, we should accept current standards or change them due to meet the needs of society and/or patterns from...

INTRODUCTION The use of electronic health records (EHRs) for research is proceeding rapidly, driven by computational power, analytical techniques, and policy. However, EHR-based research is limited by the complexity of EHR data and a lack of understanding about data provenance, meaning the context under which the data were collected. This paper presents system flow mapping as a method to help r...