Hospitals scored a mean of 0.673 (range, 0.297-0.973) on the Leapfrog Health IT safety measure the mean ARCH EHR user experience score was 3.377 (range, 1 to 5 ). RESULTS There were 112 hospitals and 5689 frontline user surveys included in the study. Ordinary least squares models with survey responses clustered by hospital were used to assess associations between the overall measures and their subcomponents. MAIN OUTCOMES AND MEASURES The primary outcomes were hospital performance on the Leapfrog Health IT Safety measure (overall and 10 subcomponents) and the ARCH collaborative frontline user experience scores (overall and 8 subcomponents). Data analysis was performed from September 2020 to November 2022. OBJECTIVE To assess whether EHR safety performance is associated with EHR frontline user experience in a national sample of hospitals.ĭESIGN, SETTING, AND PARTICIPANTS This cross-sectional study included all US adult hospitals that used the National Quality Forum Leapfrog Health IT Safety Measure and also used the ARCH Collaborative EHR User experience survey from January 1, 2017, to January 1, 2019. IMPORTANCE Despite the broad adoption and optimization of electronic health record (EHR) systems across the continuum of care, serious usability and safety problems persist. Shared Decision Making and Communication.
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