What to expect from electronic patient record system implementation; lessons learned from published evidence
Background: Numerous studies have examined specific factors related to success, failure and implications of Electronic patient record (EPR) system implementations, but usually limited to specific aspects. Objective: To review the published peer-reviewed literature and present findings regarding f...
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doaj-df050da8a15e4a28a72f0071132e7ae12020-11-24T21:40:06ZengBCS, The Chartered Institute for ITJournal of Innovation in Health Informatics2058-45552058-45632018-06-012529210410.14236/jhi.v25i2.1007857What to expect from electronic patient record system implementation; lessons learned from published evidenceWard Priestman0Shankar Sridharan1Helen Vigne2Richard Collins3Loretta Seamer4Neil J Sebire5GOSH LondonGOSH LondonGOSH LondonGOSH LondonGOSH LondonGreat Ormond Street Hospital and ICH UCL London UKBackground: Numerous studies have examined specific factors related to success, failure and implications of Electronic patient record (EPR) system implementations, but usually limited to specific aspects. Objective: To review the published peer-reviewed literature and present findings regarding factors important in relation to successful EPR implementations and likely impact on subsequent clinical activity. Method: Literature review Results: 312 potential articles were identified on initial search of which 117 were relevant and included in the review. Several factors were related to implementation success, such as good leadership and management, infrastructure support, staff training and focus on workflows and usability. In general, EPR implementation is associated with improvements in documentation, and screening performance, and reduced prescribing errors, whereas there are minimal available data in other areas such as effects on clinical patient outcomes. The peer-reviewed literature appears to under-represent a range of technical factors important for EPR implementations, such as data migration from existing systems and impact of organisational readiness. Conclusion: The findings presented here represent synthesis of data from peer-reviewed literature in the field and should be of value to provide the evidence-base for organisations considering how best to implement an EPR system.https://hijournal.bcs.org/index.php/jhi/article/view/1007EPR, implementation, benefits, systems |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ward Priestman Shankar Sridharan Helen Vigne Richard Collins Loretta Seamer Neil J Sebire |
spellingShingle |
Ward Priestman Shankar Sridharan Helen Vigne Richard Collins Loretta Seamer Neil J Sebire What to expect from electronic patient record system implementation; lessons learned from published evidence Journal of Innovation in Health Informatics EPR, implementation, benefits, systems |
author_facet |
Ward Priestman Shankar Sridharan Helen Vigne Richard Collins Loretta Seamer Neil J Sebire |
author_sort |
Ward Priestman |
title |
What to expect from electronic patient record system implementation; lessons learned from published evidence |
title_short |
What to expect from electronic patient record system implementation; lessons learned from published evidence |
title_full |
What to expect from electronic patient record system implementation; lessons learned from published evidence |
title_fullStr |
What to expect from electronic patient record system implementation; lessons learned from published evidence |
title_full_unstemmed |
What to expect from electronic patient record system implementation; lessons learned from published evidence |
title_sort |
what to expect from electronic patient record system implementation; lessons learned from published evidence |
publisher |
BCS, The Chartered Institute for IT |
series |
Journal of Innovation in Health Informatics |
issn |
2058-4555 2058-4563 |
publishDate |
2018-06-01 |
description |
Background: Numerous studies have examined specific factors related to success, failure and implications of Electronic patient record (EPR) system implementations, but usually limited to specific aspects.
Objective: To review the published peer-reviewed literature and present findings regarding factors important in relation to successful EPR implementations and likely impact on subsequent clinical activity.
Method: Literature review
Results: 312 potential articles were identified on initial search of which 117 were relevant and included in the review. Several factors were related to implementation success, such as good leadership and management, infrastructure support, staff training and focus on workflows and usability. In general, EPR implementation is associated with improvements in documentation, and screening performance, and reduced prescribing errors, whereas there are minimal available data in other areas such as effects on clinical patient outcomes. The peer-reviewed literature appears to under-represent a range of technical factors important for EPR implementations, such as data migration from existing systems and impact of organisational readiness.
Conclusion: The findings presented here represent synthesis of data from peer-reviewed literature in the field and should be of value to provide the evidence-base for organisations considering how best to implement an EPR system. |
topic |
EPR, implementation, benefits, systems |
url |
https://hijournal.bcs.org/index.php/jhi/article/view/1007 |
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