Digital Documentation Systems and Clinical Workflow Efficiency: Evidence from Healthcare Professionals

Abstract

Digital documentation systems (DDS), particularly electronic health records and integrated clinical documentation platforms, have become central to healthcare digital transformation. This study investigates the impact of digital documentation systems on clinical workflow efficiency, examining the mediating role of user satisfaction and the moderating influence of organizational IT support. Grounded in the Technology Acceptance Model and the DeLone and McLean Information Systems Success Model, a quantitative cross-sectional survey was conducted among healthcare professionals working in tertiary hospitals. Data from 260 respondents were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) via SmartPLS. The findings demonstrate a significant positive relationship between digital documentation systems and clinical workflow efficiency. User satisfaction partially mediates this relationship, while organizational IT support strengthens the effect of digital documentation on workflow efficiency. The model explains a substantial proportion of variance in workflow efficiency, highlighting the importance of both technological and organizational factors. The study contributes empirical evidence to health informatics literature and offers practical insights for healthcare administrators aiming to optimize digital documentation to improve clinical workflows.