Table 3.
Regression results: EHR training, support, inaccuracy, and dissatisfaction by staff position
| Independent Variables | EHR System Training | EHR System Support and Communication | High Frequency of Information was Not Accurate | Dissatisfied with EHR |
||||
|---|---|---|---|---|---|---|---|---|
| Coef Estimate | Pr > |t| | Coef Estimate | Pr > |t| | Odds Ratio | 95% CI | Odds Ratio | 95% CI | |
| Staff Position (reference = RN) | ||||||||
| Administration, management | 0.10* | 0.0139 | 0.14** | 0.0002 | 1.34* | (1.07,1.68) | 1.27* | (1.04,1.55) |
| Information technology | 0.21** | 0.0001 | 0.28** | < 0.0001 | 1.72* | (1.29,2.28) | 0.69* | (0.51,0.92) |
| Other clinical | 0.06* | 0.0394 | 0.11** | < 0.0001 | 0.81* | (0.68,0.96) | 0.73* | (0.62,0.85) |
| Non-clinical, office, social work | 0.04 | 0.2570 | 0.15** | < 0.0001 | 0.85 | (0.70,1.04) | 0.47* | (0.39,0.57) |
| Pharmacist, technician | -0.07* | 0.0469 | -0.03 | 0.3357 | 0.91 | (0.74,1.13) | 0.61* | (0.50,0.74) |
| Physician, resident | -0.03 | 0.4652 | 0.02 | 0.5964 | 2.03* | (1.64,2.52) | 1.69* | (1.38,2.07) |
| Bed size (reference = 100–299) | ||||||||
| 50–99 | 0.40** | 0.0097 | 0.17 | 0.2188 | 0.93 | (0.77,1.12) | 1.16 | (0.99,1.36) |
| 300 or more | -0.36** | < 0.0001 | -0.28** | < 0.0001 | 1.08 | (0.94,1.23) | 0.95 | (0.84,1.07) |
| Ownership (reference = Nongovt not-for-profit) | ||||||||
| Government non-federal | -0.53** | 0.0029 | -0.44** | 0.0066 | 0.96 | (0.77,1.21) | 2.28* | (1.90,2.73) |
| For-profit | -0.57** | 0.0028 | -0.47** | 0.0062 | 0.85 | (0.58,1.23) | 0.64* | (0.45,0.91) |
Note: n = 8880; positive regression coefficient indicates better score on the mean composite measure;
odds ratio > 1 (unfavorable) indicates greater likelihood of high frequency inaccuracy and EHR system dissatisfaction
Staff position estimates are in comparison to RNs.
RN = Registered Nurse; Nongovt = nongovernment; Coef = coefficient; Pr = probability; CI = confidence interval
* significant at p < 0.05
** significant at p < 0.01