Usability Challenges with EHRs During Pre-Rounding in the Pediatric Acute Care Department

Abstract

Health providers heavily rely on Electronic Health Record (EHR) systems in the daily patient care. While EHRs have improved the quality of patient care, issues related to implementation and training with these systems have resulted in clinician frustration and burnout. The goal of this work is to identify usability issues related to the EHRs during the pre-rounding process. Residents in the Pediatric Acute Care Department completed questionnaires before and after the experimental portion of this study where they were assigned two patients to pre-round. The results showed several emerging themes of issues residents encounter that include access cost of finding certain types of information, added workload offloaded to the residents, and incomplete information while pre-rounding. This initial study shows that these usability issues have resulted in increased frustration among residents. Addressing these issues related to EHRs could streamline the pre-rounding process and reduce the workload of the clinicians.

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