Educational Intervention to Increase Physician Satisfaction and Effectiveness With a New Electronic Health Record

Interventions to Increase Physician Effectiveness and Acceptance of a Electronic Health Record System

This study was intended to test the effects of adding a one-on-one educational intervention taught by a physician to a physician during their clinical work to improve their acceptance and satisfaction with a new inpatient electronic health record and ordering system.

This study was a randomized, parallel , non- blinded controlled trial of real-time, focused educational interventions in an intervention arm compared with usual training and support in the control arm. Improvement in performance, defined as the time between opening and closing a progress note, and number of notes completed after shift , were the primary outcomes. Physician satisfaction was a secondary outcome. Participants from one 550-bed Academic Independent Medical Center were invited to participate if they were full-time hospitalists or residents in internal medicine with no prior experience with the EPIC electronic health record.

Inclusion Criteria:

• Internal Medicine physicians and resident physicians with inpatient clinical duties at the time of the EPIC electronic health record go-live (Feb 4, 2013)

Exclusion Criteria:

• Physicians whose duties did not include regular admissions and discharge of patients
• Physicians whose work was limited to teaching
• Physicians with prior experience in using EPIC systems for inpatient care .
• Physician assistants and nurse practitioners