title: [Implantation of a computerised clinical history: survey on the degree of utilisation and satisfaction in a tertiary hospital].
abstract: BACKGROUND
  To assess the utilization of an electronic medical record (EMR), the degree of satisfaction with this tool, as well as to detect problems in its utilization, in a tertiary hospital in Spain.
  
  
  METHODS
  A survey was sent by mail to all physicians in the Virgen del Camino Hospital in Pamplona, Spain.
  
  
  RESULTS
  Out of 445 staff physicians, 174 answered the survey (39%). Seventy-nine percent considered that the EMR is better than the traditional, paper-based medical record. Sixty-one percent used the EMR for consultation and to introduce clinical data in a regular way. Fifty-five percent agreed that the EMR has advantages for the patient. The main problems detected are a loss in confidentiality, lack of time, insufficient number of computers, and inadequate training. Ninety percent answered that EMR implementation should be continued and only 6% are dissatisfied with the computer application.
  
  
  CONCLUSIONS
  There is a high degree of utilization of the EMR in the Virgen del Camino Hospital. Measures should be implemented to resolve the problems detected in this survey.
authors.affiliation: Servicio de Medicina Preventiva y Gestión de la Calidad Hospitalaria, Hospital Virgen del Camino, Pamplona.
authors.forename: A
authors.initials: A
authors.lastname: Alonso
authors.forename: M
authors.initials: M
authors.lastname: Iraburu
authors.forename: M L
authors.initials: ML
authors.lastname: Saldaña
authors.forename: M T
authors.initials: MT
authors.lastname: de Pedro
mesh_terms: D003258:Consumer Behavior; D006761:Hospitals; D016347:Medical Records Systems, Computerized / Q000592:standards* / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires
vernacular_title: Implantación de una historia clínica informatizada: encuesta sobre el grado de utilización y satisfacción en un hospital terciario.