{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T09:49:56Z","timestamp":1747216196399,"version":"3.40.5"},"reference-count":0,"publisher":"IOS Press","isbn-type":[{"type":"electronic","value":"9781643685335"}],"license":[{"start":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T00:00:00Z","timestamp":1724284800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,22]]},"abstract":"<jats:p>Unexpected downtime and long response times of electronic health record (EHR) systems not only impact user satisfaction and clinicians\u2019 work efficiency but also bring about potential harm for patients. Despite improvements in the performance of EHR systems\u2019 architecture, hardware, and networks, technical challenges continue to cause problems. We explored the end-user experiences of EHR technical functionality and quality from four large national cross-sectional surveys conducted among Finnish physicians in 2010\u201321. The results were analyzed by healthcare sector\/specialty groups. In most groups, the experiences of stability and reaction speed became worse in 2010\u201317, which is readily explained by the implementation of the national patient data repository services, but improvements were seen in 2021, suggesting that EHR vendors have solved at least some of the slowness problems. The proportion of physicians reporting having experienced faulty system function with potential or actualized harm for the patient had decreased in operative and medical specialties and in the private sector but remained stable in other groups. Our findings underline the importance of continuing to develop technical qualities \u2013 including the implementations of national integrations.<\/jats:p>","DOI":"10.3233\/shti240336","type":"book-chapter","created":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T08:28:42Z","timestamp":1724401722000},"source":"Crossref","is-referenced-by-count":0,"title":["Physicians\u2019 Experiences of EHR Technical Quality: Results from Four Large Cross-Sectional Surveys in 2010\u20132021"],"prefix":"10.3233","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4124-6667","authenticated-orcid":false,"given":"Tinja","family":"L\u00e4\u00e4veri","sequence":"first","affiliation":[{"name":"Aalto University, Department of Computer Science, Finland"},{"name":"Inflammation Center, Helsinki University Hospital, Finland"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6659-5022","authenticated-orcid":false,"given":"Johanna","family":"Viitanen","sequence":"additional","affiliation":[{"name":"Aalto University, Department of Computer Science, Finland"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2306-3111","authenticated-orcid":false,"given":"Jarmo","family":"Reponen","sequence":"additional","affiliation":[{"name":"Research Unit of Health Sciences and Technology, University of Oulu, Finland"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7554-3850","authenticated-orcid":false,"given":"Jari","family":"Renko","sequence":"additional","affiliation":[{"name":"Oy Apotti Ab, Helsinki, Finland"}]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","Digital Health and Informatics Innovations for Sustainable Health Care Systems"],"original-title":[],"link":[{"URL":"https:\/\/ebooks.iospress.nl\/pdf\/doi\/10.3233\/SHTI240336","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T08:28:43Z","timestamp":1724401723000},"score":1,"resource":{"primary":{"URL":"https:\/\/ebooks.iospress.nl\/doi\/10.3233\/SHTI240336"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,22]]},"ISBN":["9781643685335"],"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/shti240336","relation":{},"ISSN":["0926-9630","1879-8365"],"issn-type":[{"type":"print","value":"0926-9630"},{"type":"electronic","value":"1879-8365"}],"subject":[],"published":{"date-parts":[[2024,8,22]]}}}