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  1. Xiao, Yan PhD
  2. Montgomery, Donna Cook RN-BC, BSN, MBA
  3. Philpot, Lindsey M. PhD, MPH
  4. Barnes, Sunni A. PhD
  5. Compton, Jan MSHA, BSN, RN
  6. Kennerly, Donald MD, PhD


OBJECTIVE: The aim of this study was to develop a survey tool to assess electronic health record (EHR) implementation to guide improvement initiatives.


BACKGROUND: Survey tools are needed for ongoing improvement and have not been developed for aspects of EHR implementation.


METHODS: The Baylor EHR User Experience (UX) survey was developed to capture 5 concept domains: training and competency, usability, infrastructure, usefulness, and end-user support. Validation efforts included content validity assessment, a pilot study, and analysis of 606 nurse respondents. The revised tool was sent to randomly sampled EHR nurse-users in 11 acute care facilities.


RESULTS: A total of 1,301 nurses responded (37%). Internal consistency of the survey tool was excellent (Cronbach's [alpha] = .892). Survey responses including 1,819 open comments were used to identify and prioritize improvement efforts in areas such as education, support, optimization of EHR functions, and vendor change requests.


CONCLUSION: The Baylor EHR UX survey was a valid tool that can be useful for prioritizing improvement efforts in relation to EHR implementation.