“I think they should work on teaching session, according to level of each, e.g. dividing them in groups and take them step by step even if it take 10 sessions or more” (FG2). Participants specified that the IT team and super users selleck chem Z-VAD-FMK were always available

during the early time of implementation. They also suggested having regular meetings with the IT team to re-evaluate the physicians, answer their queries and have an updated training session for each system upgrade, for example, “they make a training they have to meet the users again to evaluate them. For example, I am using the Cerner and I collect questions there should be someone professional to answer me” (FG3). “They should give us updating; now what I learn 2 years ago I am developing myself. This should be like regular because this will answer a lot of questions for me for the system” (FG1). Patient-related outcomes Patient–physician relationship Physicians’ perceptions about patient reaction were mixed. Initially, they were unhappy because of the disturbed

patient–doctors relationship, for example, “It was bad but now it is improving a lot” (FG1) and “The real thing is eye contact is missing” (FG2). Furthermore, the waiting time increased due to data entry causing more frustration to the patients, for example, “The patient upset because of waiting time” (FG3). Physicians believed that the waiting time was not caused by them but was mainly in the registration and nursing assessment, for example, “I found that nursing assessment they have to do a lot of things” (FG2). However, they believed that the benefits outweighed the waiting time issue and included beneficial issues as improved patient care, patient education and the health maintenance schedule. They stated that the patient flow was initially reduced but eventually returned to the same level as prior to implementation of the EMR, for example, “the same, the same” (FG2). Many physicians were concerned about their patients’ perception about the new technology. They felt that

many patients were unhappy but indicated that few patients approved and made positive remarks to their physicians. Physicians Entinostat tried to adapt some strategies to maintain their relationship with their patients. Some were talking to their patients while dealing with the computer so that the patients would not feel neglected, for example, “ok now I am checking your results, I am checking your past file” (FG1). Others reserved data entry work for immediately after the visit, for example, “we can put the diagnosis, then put the medication, because we can’t put medication without diagnosis then put the labs then ask the patient to go and continue documentation” (FG2). “The proper thing is to take full history from the patient, maintaining the good communication with the patient then turn and document” (FG3).

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