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We describe the results of a longitudinal study regarding system use and user satisfaction before and after introduction of an electronic discharge letter application in a pediatric intensive care unit (PICU) of a German university hospital. The new discharge letter application is part of the hospital information system (HIS). The study covered an eleven month time period and used system logs as well as questionnaires including a modified questionnaire of user interaction satisfaction QUIS. We used methods which are comparable to a previous study examining a HIS based discharge letter in three departments of an Austrian hospital. In comparison we found out that user satisfaction was lower in our case. Interestingly, we noticed that in our case this was mirrored by an increasing use of the new discharge letter although there was no pressure to switch to the new HIS based discharge letter application.

When usage and user satisfaction differ: the case of an electronic discharge summary.