title: User perception and experience of the introduction of a novel critical care patient viewer in the ICU setting.
abstract: OBJECTIVE
  Failure to rapidly identify high-value information due to inappropriate output may alter user acceptance and satisfaction. The information needs for different intensive care unit (ICU) providers are not the same. This can obstruct successful implementation of electronic medical record (EMR) systems. We evaluated the implementation experience and satisfaction of providers using a novel EMR interface-based on the information needs of ICU providers-in the context of an existing EMR system.
  
  
  METHODS
  This before-after study was performed in the ICU setting at two tertiary care hospitals from October 2013 through November 2014. Surveys were delivered to ICU providers before and after implementation of the novel EMR interface. Overall satisfaction and acceptance was reported for both interfaces.
  
  
  RESULTS
  A total of 246 before (existing EMR) and 115 after (existing EMR+novel EMR interface) surveys were analyzed. 14% of respondents were prescribers and 86% were non-prescribers. Non-prescribers were more satisfied with the existing EMR, whereas prescribers were more satisfied with the novel EMR interface. Both groups reported easier data gathering, routine tasks & rounding, and fostering of team work with the novel EMR interface. This interface was the primary tool for 18% of respondents after implementation and 73% of respondents intended to use it further. Non-prescribers reported an intention to use this novel interface as their primary tool for information gathering.
  
  
  CONCLUSIONS
  Compliance and acceptance of new system is not related to previous duration of work in ICU, but ameliorates with the length of EMR interface usage. Task-specific and role-specific considerations are necessary for design and successful implementation of a EMR interface. The difference in user workflows causes disparity of the way of EMR data usage.
authors.affiliation: Department of Anesthesiology, Mayo Clinic, Rochester, MN, United States.
authors.forename: Mikhail A
authors.initials: MA
authors.lastname: Dziadzko
authors.affiliation: Department of Anesthesiology, Mayo Clinic, Rochester, MN, United States.
authors.forename: Vitaly
authors.initials: V
authors.lastname: Herasevich
authors.affiliation: Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Scottsdale, AZ, United States.
authors.forename: Ayan
authors.initials: A
authors.lastname: Sen
authors.affiliation: Department of Anesthesiology, Mayo Clinic, Rochester, MN, United States.
authors.forename: Brian W
authors.initials: BW
authors.lastname: Pickering
authors.affiliation: Division of Critical Care Medicine, Mayo Clinic, Jacksonville, FL, United States.
authors.forename: Ann-Marie A
authors.initials: AM
authors.lastname: Knight
authors.affiliation: Division of Critical Care Medicine, Mayo Clinic, Jacksonville, FL, United States; Department of Transplantation Medicine, Mayo Clinic, Jacksonville, FL, United States. Electronic address: MorenoFranco.Pablo@mayo.edu.
authors.forename: Pablo
authors.initials: P
authors.lastname: Moreno Franco
mesh_terms: D001291:Attitude of Health Personnel; D003422:Critical Care; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D006801:Humans; D007362:Intensive Care Units; D005791:Patient Care / Q000295:instrumentation*; D010465:Perception; D014584:User-Computer Interface; D057188:Workflow
keywords: Electronic medical record; Implementation; Intensive care unit; Rounds; Usability