Lessons learned from implementation of a perinatal documentation system.
Implementation of an electronic medical record (EMR) system is a complex process with broad implications. In a Midwestern hospital perinatal setting, EMR implementation involved several critical steps: strategic planning and project goal setting; project structure and governance; system requirements analysis; vendor selection and contract negotiation; and EMR training. No difference in patient care activities and communications among clinicians was found between pre- and post-EMR implementation; however, nurses' perceptions of EMR were more negative afterward. Lessons learned and implications are provided.
Chia-An
CA
Chao
Joanne
J
Goldbort
D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D004282:Documentation / Q000379:methods* / Q000706:statistics & numerical data; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D005260:Female; D006284:Health Plan Implementation / Q000379:methods*; D006801:Humans; D007858:Learning; D017283:Neonatal Nursing / Q000379:methods*; D017063:Outcome Assessment, Health Care; D011247:Pregnancy; D014481:United States; D055815:Young Adult