Table 2. Nurse assessments of electronic health record (EHR) system usability and quality of care in hospitals by level of EHR adoption.
| N (%) of nurses agreeing with statement who work in hospitals with: | ||||
|---|---|---|---|---|
| Outcomes | All ( n = 12,377) | Basic EHR or less ( n = 6,133) | Comprehensive EHR ( n = 6,244) | p -Value a |
| Not satisfied with the system | 2,597 (25.1%) | 1,462 (28.7%) | 1,135 (21.6%) | <0.001 |
| The systems do not make it easy to access a patient's clinical data quickly | 2,034 (19.7%) | 1,204 (23.7%) | 830 (15.8%) | <0.001 |
| The systems interfere with the provision of patient care | 5,668 (55.4%) | 2,848 (56.7%) | 2,820 (54.2%) | 0.009 |
| The systems are not easy to use | 3,290 (31.9%) | 1,809 (35.7%) | 1,481 (28.2%) | <0.001 |
| I do not trust the accuracy of the patient assessment data documented in the systems | 1,802 (17.5%) | 955 (18.8%) | 847 (16.2%) | <0.001 |
| I do not trust the accuracy of the medication information in the systems | 1,145 (11.1%) | 617 (12.2%) | 528 (10.1%) | <0.001 |
| The systems do not help me to do my work in an efficient way | 3,321 (32.2%) | 1,778 (35.1%) | 1,543 (29.4%) | <0.001 |
| The systems do not make it easy to share information in a timely way with other members of the health care team | 2,107 (20.5%) | 1,248 (24.6%) | 859 (16.4%) | <0.001 |
| Nurses were not involved in choosing (or modifying) the patient record system | 3,183 (48.5%) | 1,643 (50.7%) | 1,540 (46.4%) | <0.001 |
| Quality of care on unit is fair or poor | 1,244 (11.9%) | 721 (14.0%) | 523 (9.9%) | <0.001 |
| Poor overall unit grade on patient safety (C,D, or F) | 2,980 (28.4%) | 1,565 (30.3%) | 1,415 (26.5%) | <0.001 |
Note: Percentages in the “All” column may not align with overall sample size due to missing data. Sample sizes range from 6,565 to 10,495.
a
p -values generated from chi-squares.