Table 2

Effects of EMR use on total agreement between nurses and patients with their physicians on multiple aspects of the plan of care

Total agreement score24.973 (5.414)23.258 (5.322)p Value 0.0299*
Specific aspect of carePre-EMR agreement (n=75)Post-EMR agreement (n=121)OR (95% CI)
NonePartialCompleteNonePartialComplete
Physician-nurse, n (%)
 Primary diagnosis10 (13.3)18 (24.0)47 (62.7)13 (10.7)20 (16.5)88 (72.7)1.54 (0.84 to 2.81)0.16
 Planned tests‡13 (17.3)062 (82.7)32 (26.4)6 (5.0)83 (68.6)0.58 (0.28 to 1.20)0.14
 Planned procedures‡4 (5.3)071 (94.7)14 (11.6)1 (0.8)106 (87.6)0.43 (0.14 to 1.36)0.15
 Medication changes31 (41.3)5 (6.7)39 (52.0)58 (47.9)11 (9.1)52 (43.0)0.73 (0.42 to 1.27)0.26
 Pending consultations12 (16.0)3 (4.0)60 (80.0)26 (21.5)11 (9.1)84 (69.4)0.59 (0.30 to 1.16)0.13
 Expected LOS‡17 (22.7)32 (42.7)26 (34.7)54 (44.6)24 (19.8)43 (35.5)0.36 (0.19 to 0.70)0.002*
Physician-patient, n (%)
 Primary diagnosis16 (21.3)15 (20.0)44 (58.7)22 (18.2)25 (20.7)74 (61.2)1.14 (0.64 to 2.01)0.66
 Planned tests20 (26.7)1 (1.3)54 (72.0)39 (32.2)2 (1.7)80 (66.1)0.76 (0.41 to 1.42)0.39
 Planned procedures‡5 (6.7)070 (93.3)19 (15.7)1 (0.8)101 (83.5)0.38 (0.14 to 1.08)0.068†
 Medication changes40 (53.3)6 (8.0)29 (38.7)66 (54.5)6 (5.0)49 (40.5)1.00 (0.57 to 1.77)0.99
 Pending consultations20 (26.7)3 (4.0)52 (69.3)44 (36.4)14 (11.6)63 (52.1)0.53 (0.29 to 0.95)0.033*
 Expected LOS‡23 (30.7)28 (37.3)23 (30.7)66 (54.5)18 (14.9)37 (30.6)0.38 (0.21 to 0.69)0.002*
  • Measures of agreement were categorised as none (0), partial (1), or complete (2) agreement. No agreement served as the reference group.

  • *p Value <0.05.

  • †p Value <0.10.

  • ‡Proportional odds assumption violated. p Value based from binary logistic regression modelling ‘At Least Partial Agreement’ versus ‘No Agreement’.

  • EMR, Electronic medical record; LOS, Length of stay.