Measuring effectiveness of electronic medical records systems: towards building a composite index for benchmarking hospitals.

Introduction: Many hospitals are currently in the process of developing and implementing electronic medical records (EMR) systems. This is a critical time for developing a framework that can measure and allow for comparison the effectiveness of EMR systems across hospitals that have implemented these systems. The motivation for this study comes from the realization that there is limited research on the understanding of the effectiveness of EMR systems, and a lack of appropriate reference theoretical framework for measuring the effectiveness of EMR systems.

Nurses' views on the use, quality and user satisfaction with electronic medical records: questionnaire development.

Aim: This paper is a report of the development of an instrument to measure nurses' views on the use, quality and user satisfaction with electronic medical records systems.

Background: Use of electronic medical records systems in hospitals is steadily increasing, yet no validated instruments have assessed the effectiveness of these systems from the viewpoint of nurses.

Method: Items were designed following a literature review based on three main constructs: use, quality and user satisfaction with electronic medical records.

Evaluation of electronic health records from viewpoint of patients.

Objective: To clarify the impacts of electronic health records (EHRs) on patients, especially patient's satisfaction by using questionnaire.

Design: Surveys were conducted at three hospitals. One of them was surveyed three times; three-months before (pre-EHR) and three-months after (post-3mo EHR) and nine-months after implementation of EHR (post-9mo EHR).