Date of Award
2019
Embargo Period
8-1-2024
Document Type
Dissertation
Degree Name
Doctor of Health Administration
College
College of Health Professions
First Advisor
Jillian Harvey
Second Advisor
Mathew Tharakan
Third Advisor
Gerald Kelly
Abstract
Despite the available research on the benefits, capabilities, and implementation barriers and challenges of electronic Clinical Decision Support (CDS) tools physicians are still reluctant to utilize them. There are multiple studies that demonstrate limited buy-in and overall disinclination to use them however few studies evaluate physician satisfaction with CDS tools and the usability factors that may be associated with increasing satisfaction. The Questionnaire for User Interaction Satisfaction (QUIS) was disseminated to all P4 Residents and P4 Physician Hospitalists who routinely use the academic medical center’s electronic medical record (EMR). Overall user satisfaction was most correlated with the Layout/Screen Design and System Learning usability factors. It was unexpectedly not associated with Capabilities. The development of these tools should consider and encourage practices that invite analysts and physicians to collaborate on the principles and standards to guide design. Studies that focus on human-computer interactions can assist with the development of meaningful design strategies that will increase physician satisfaction resulting in increased physician usage of available CDS tools. Since CDS tools are often implemented to assist physicians with effective decision making to improve patient outcomes, ongoing efforts are needed to foster any long term successes of CDS tools.
Recommended Citation
Gilmartin, Eileen T., "Physician Satisfaction and Usability of Clinical Decision Support Tools in an Academic Medical Center’s Electronic Patient Record" (2019). MUSC Theses and Dissertations. 209.
https://medica-musc.researchcommons.org/theses/209
Rights
All rights reserved. Copyright is held by the author.