Research Objective: It is important to understand factors associated with user acceptance and satisfaction with new technology in healthcare settings. The objective of this study is to measure clinician perceptions of the recently implemented Epic eChart electronic medical record system in the Columbus Children's Hospital Emergency Department.

Methodology: Physicians and nurses from the emergency department were recruited to complete an online survey about their experiences. Potential predictors of satisfaction studied include perceived usefulness, perceived ease of use, and general attitudes toward using technology. Bivariate relationships between satisfaction and each potential predictor were assessed using the chi-square test.

Principal Findings: Overall, 38.5% of participants agreed that they were completely satisfied with system reliability and functionality and would recommend use of Epic to clinicians at other pediatric institutions. 60% of nurses but only 25% of physicians agreed that they were completely satisfied with both functionality and reliability and would recommend the system to other clinicians.

Conclusions: Only 40% of users were completely satisfied with initial reliability and functionality of the system and would recommend use to clinicians at other pediatric institutions, suggesting continued opportunities for improvement. Subsequent data collections will determine whether this improves over time. Perceived ease of use and attitudes about technology were significantly correlated with satisfaction levels; yet, age and gender were not. Therefore, health care organizations should place emphasis on improving general attitudes about technology and undertake efforts to eliminate barriers associated with perceived ease of use prior to implementation in order to improve user acceptance and satisfaction rates.