Accepted for/Published in: JMIR mHealth and uHealth
Date Submitted: Aug 18, 2020
Open Peer Review Period: Aug 18, 2020 - Aug 26, 2020
Date Accepted: Nov 30, 2020
(closed for review but you can still tweet)
The effectiveness with medical interns' use of mobile electronic medical record in real clinical settings: Mixed method study
ABSTRACT
Background:
Owing to the lack of experience and overwhelming workload, interns at tertiary hospitals of South Korea are usually inefficient, often delaying the entire clinical process. Mobile electronic medical records (mEMR) have been widely adopted by healthcare providers as they have been shown to improve workflow efficiency.
Objective:
This study aimed to investigate the association between the frequency of mEMR usage and clinical task completion interval time among interns in a tertiary hospital.
Methods:
This mixed method study was conducted at the Samsung Medical Center, Seoul, South Korea. Interns who worked at the Samsung Medical Center from March 2018 to February 2019 were included. We collected the log data from the mEMR server and intern clinical task time series data and compared the clinical task completion interval among four groups of interns divided by the quantile of mEMR frequency. Standard System Usability Score (SUS) questionnaires and semi-structured interviews were then conducted.
Results:
Among a total of 87 interns, 84 used mEMR to verify the requested clinical tasks. The most frequently used item was “Intern task list.” Analysis of the four intern groups revealed an inverse relationship between the median time of the task completion interval and the frequency of mEMR use. The mean SUS score was 81.67.
Conclusions:
Our findings suggest that frequent mEMR use is associated with improved work efficiency in hospital interns with good usability of mEMR.
Citation
Request queued. Please wait while the file is being generated. It may take some time.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.