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Med."],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Despite widespread adoption of electronic medical records (EMRs), concerns persist regarding their usability and implications for patient safety. This national cross-sectional survey assessed physicians\u2019 perceptions of EMR usability across safety-relevant domains. Among 1933 respondents from diverse care settings, 56% reported that their EMR did not enhance patient safety, and 50% perceived their system as inefficient. Usability ratings averaged 52% of the maximum score. Statistically significant differences were observed between EMRs in outpatient (\u03b7\u00b2\u2009=\u20090.13) and hospital (\u03b7\u00b2\u2009=\u20090.37) settings. Multilevel modeling attributed 38% of the variance in usability ratings to differences between EMRs, 51% to hospital-level variation within EMRs, and 11% to physician-level differences. Canonical discriminant analysis identified key differentiating usability features, including system response times, excessive alerts, prevention of data entry errors, and support for collaboration. 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