Prehospital Electronic Patient Care Report Systems: Early Experiences from Emergency Medical Services Agency Leaders
Open Access
- 5 March 2012
- journal article
- research article
- Published by Public Library of Science (PLoS) in PLOS ONE
- Vol. 7 (3), e32692
- https://doi.org/10.1371/journal.pone.0032692
Abstract
As the United States embraces electronic health records (EHRs), improved emergency medical services (EMS) information systems are also a priority; however, little is known about the experiences of EMS agencies as they adopt and implement electronic patient care report (e-PCR) systems. We sought to characterize motivations for adoption of e-PCR systems, challenges associated with adoption and implementation, and emerging implementation strategies. We conducted a qualitative study using semi-structured in-depth interviews with EMS agency leaders. Participants were recruited through a web-based survey of National Association of EMS Physicians (NAEMSP) members, a didactic session at the 2010 NAEMSP Annual Meeting, and snowball sampling. Interviews lasted approximately 30 minutes, were recorded and professionally transcribed. Analysis was conducted by a five-person team, employing the constant comparative method to identify recurrent themes. Twenty-three interviewees represented 20 EMS agencies from the United States and Canada; 14 EMS agencies were currently using e-PCR systems. The primary reason for adoption was the potential for e-PCR systems to support quality assurance efforts. Challenges to e-PCR system adoption included those common to any health information technology project, as well as challenges unique to the prehospital setting, including: fear of increased ambulance run times leading to decreased ambulance availability, difficulty integrating with existing hospital information systems, and unfunded mandates requiring adoption of e-PCR systems. Three recurring strategies emerged to improve e-PCR system adoption and implementation: 1) identify creative funding sources; 2) leverage regional health information organizations; and 3) build internal information technology capacity. EMS agencies are highly motivated to adopt e-PCR systems to support quality assurance efforts; however, adoption and implementation of e-PCR systems has been challenging for many. Emerging strategies from EMS agencies and others that have successfully implemented EHRs may be useful in expanding e-PCR system use and facilitating this transition for other EMS agencies.Keywords
This publication has 28 references indexed in Scilit:
- Necessity of an Integrated Road Traffic Injuries Surveillance System: A Community-Based StudyTraffic Injury Prevention, 2011
- An Open, Interoperable, and Scalable Prehospital Information Technology Network ArchitecturePrehospital Emergency Care, 2011
- Barriers to the acceptance of electronic medical records by physicians from systematic review to taxonomy and interventionsBMC Health Services Research, 2010
- Launching HITECHThe New England Journal of Medicine, 2010
- Stimulating the Adoption of Health Information TechnologyThe New England Journal of Medicine, 2009
- Electronic Health Records in Specialty Care: A Time-Motion StudyJournal of the American Medical Informatics Association, 2007
- Qualitative Data Analysis for Health Services Research: Developing Taxonomy, Themes, and TheoryHealth Services Research, 2007
- Evaluating State Capacity to Collect andAnalyze Emergency Medical Services DataPrehospital Emergency Care, 2006
- Qualitative Research: Reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services researchBMJ, 1995
- Doing Qualitative ResearchNursing Research, 1995