Abstract
Abstract
Objective
Clinical practice is constantly changing with new guidelines being published, changes in patients’ preferences but also by new qualitative requirements for therapists and institutional surveys on delivered care. Electronic health records (EHR) are used for all these purposes. We involved physiotherapists and occupational therapists in an intervention to change documentation practice in their electronic health record for low back pain (LBP) and later evaluated the feasibility of the new health records. The aim of the present study was to explore therapists’ experiences working with the new EHR.
Results
Three themes were identified thru interviews: (I) Facilitators and motivators towards implementation, (II) Changing routines as a group and (III) Obstacles against successful implementation. This study identifies a need for involving therapists and management for successful change of electronic health care records usage in municipalities. However, difficulties were encountered in meeting documentation of practice requirements and obtaining sufficient data quality in the EHR for data to be used for daily use, quality assessment and research. In this small descriptive study, developing an EHR that simultaneously serves treatment plans, quality assessment, and research purposes was not expressed being feasible. Further research in this area is needed.
Funder
Internal funded by by the Department of Physiotherapy, University College of Northern Denmark
Publisher
Springer Science and Business Media LLC
Subject
General Biochemistry, Genetics and Molecular Biology,General Medicine
Reference23 articles.
1. Hoy D, March L, Woolf A, Blyth F, Brooks P, Smith E et al. The global burden of neck pain: estimates from the global burden of disease 2010 study. Ann Rheum Dis [Internet]. 2014;73(7):1309–15. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24482302.
2. Toftdahl AKS, Pape-Haugaard LB, Palsson TS, Villumsen M. Collect once - use many times: the research potential of low back pain patients’ municipal electronic healthcare records. Stud Health Technol Inform. 2018;247:211–5.
3. Nilsen P, Neher M, Ellström PE, Gardner B. Implementation of Evidence-Based Practice From a Learning Perspective. Worldviews Evid Based Nurs. 2017;14(3):192–199. https://doi.org/10.1111/wvn.12212. Available from: https://sigmapubs.onlinelibrary.wiley.com/doi/pdf/10.1111/wvn.12212.
4. Joukes E, Cornet R, de Keizer N, de Bruijne M. Collect Once, Use Many Times: End-Users Don’t Practice What They Preach. Stud Health Technol Inform [Internet]. 2016;228:252–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27577382.
5. Cimino JJ. Collect once, use many. Enabling the reuse of clinical data through controlled terminologies. Journal of AHIMA / American Health Information Management Association [Internet]. 2007;78(2):24–9; quiz 31–2. Available from: http://library.ahima.org/doc?oid=106742#.WeZJxdxpG00.