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A cross-sectional multilevel study on nurses’ experiences with health information systems: A key to understanding documentation hazards and technology-induced errors in different working environments

Kaija Saranto et al.

Health Informatics Journal2026https://doi.org/10.1177/14604582261415735article
ABDC C
Weight
0.50

What the paper says

<b>Objective:</b> This study aimed to investigate how nurses' backgrounds, documentation skills, and experiences with documentation practices and information systems usage influence documentation hazards and to determine whether these hazards are linked to technology-induced errors (TIEs). <b>Methods:</b> An online survey was conducted to collect data from 3065 registered nurses working in Finnish hospitals and in acute, primary, and home care services regarding their experiences with electronic health records (EHRs) or client information systems (CIS). The data were analysed using linear and logistic multilevel models to identify patterns and correlations. <b>Results:</b> User interaction with EHR/CIS systems significantly influenced documentation hazards across different work environments. Perceived system-provided documentation support and documentation hazards were identified as contributors to TIEs. <b>Conclusions:</b> Improving system design and documentation support is a desirable goal, but it is not sufficient to mitigate documentation hazards and promote efficient practices. To achieve the best possible results, skilled users are needed to operate these systems.

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https://doi.org/https://doi.org/10.1177/14604582261415735

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@article{kaija2026,
  title        = {{A cross-sectional multilevel study on nurses’ experiences with health information systems: A key to understanding documentation hazards and technology-induced errors in different working environments}},
  author       = {Kaija Saranto et al.},
  journal      = {Health Informatics Journal},
  year         = {2026},
  doi          = {https://doi.org/https://doi.org/10.1177/14604582261415735},
}

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A cross-sectional multilevel study on nurses’ experiences with health information systems: A key to understanding documentation hazards and technology-induced errors in different working environments

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Evidence weight

0.50

Balanced mode · F 0.40 / M 0.15 / V 0.05 / R 0.40

F · citation impact0.50 × 0.4 = 0.20
M · momentum0.50 × 0.15 = 0.07
V · venue signal0.50 × 0.05 = 0.03
R · text relevance †0.50 × 0.4 = 0.20

† Text relevance is estimated at 0.50 on the detail page — for your query’s actual relevance score, open this paper from a search result.