A review of the empirical evidence of the value of structuring and
coding of clinical information within electronic health records for
direct patient care

Fernando, Bernard; Morrison, Zoë; Sheikh, Aziz

doi:10.14236/jhi.v20i3.22

Cited by 12 publications

(11 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This kind of impact on clinical documentation practice has already been seen for headings and templates that reflect good practice guidelines. [37][38][39] Providing patients with a personal health records linked to provider EHRs significantly improves perception of patient-centeredness. 40 Harnessing new technologies and having information on what matters to patients consistently documented in a structured way within EHR systems alongside their core clinical information allows the creation of truly patient-focused records.…”

Section: Discussionmentioning

confidence: 99%

Documenting Routinely What Matters to People: Standardized Headings for Health Records of Patients with Chronic Health Conditions

et al. 2018

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Documenting Routinely What Matters to People: Standardized Headings for Health Records of Patients with Chronic Health Conditions

et al. 2018

Self Cite

View full text Add to dashboard Cite

show abstract

“…Having patient information available in the electronic health record in a structured/coded format is considered to be important for the implementation of CCDSS [ 55 ]. This allows healthcare professionals to record the patient characteristics and makes it possible for computers to process the data.…”

Section: Discussionmentioning

confidence: 99%

Tailoring implementation strategies for evidence-based recommendations using computerised clinical decision support systems: protocol for the development of the GUIDES tools

et al. 2015

View full text Add to dashboard Cite

BackgroundA computerised clinical decision support system (CCDSS) is a technology that uses patient-specific data to provide relevant medical knowledge at the point of care. It is considered to be an important quality improvement intervention, and the implementation of CCDSS is growing substantially. However, the significant investments do not consistently result in value for money due to content, context, system and implementation issues. The Guideline Implementation with Decision Support (GUIDES) project aims to improve the impact of CCDSS through optimised implementation based on high-quality evidence-based recommendations. To achieve this, we will develop tools that address the factors that determine successful CCDSS implementation.Methods/designWe will develop the GUIDES tools in four steps, using the methods and results of the Tailored Implementation for Chronic Diseases (TICD) project as a starting point: (1) a review of research evidence and frameworks on the determinants of implementing recommendations using CCDSS; (2) a synthesis of a comprehensive framework for the identified determinants; (3) the development of tools for use of the framework and (4) pilot testing the utility of the tools through the development of a tailored CCDSS intervention in Norway, Belgium and Finland. We selected the conservative management of knee osteoarthritis as a prototype condition for the pilot. During the process, the authors will collaborate with an international expert group to provide input and feedback on the tools.DiscussionThis project will provide guidance and tools on methods of identifying implementation determinants and selecting strategies to implement evidence-based recommendations through CCDSS. We will make the GUIDES tools available to CCDSS developers, implementers, researchers, funders, clinicians, managers, educators, and policymakers internationally. The tools and recommendations will be generic, which makes them scalable to a large spectrum of conditions. Ultimately, the better implementation of CCDSS may lead to better-informed decisions and improved care and patient outcomes for a wide range of conditions.Protocol registrationPROSPERO, CRD42016033738 Electronic supplementary materialThe online version of this article (doi:10.1186/s13012-016-0393-7) contains supplementary material, which is available to authorized users.

show abstract

“…The search strategy was developed by iteratively scoping the literature, through discussion with experts, and from previously published search strategies, in particular [15]. A list of terms variously used to describe personal health records research in PubMed has recently been collated by Kim et al, and also informed this search strategy [16].…”

Section: Methodsmentioning

confidence: 99%

A Review of the Empirical Evidence of the Healthcare Benefits of Personal Health Records

Fernando¹

2013

Yearb Med Inform

View full text Add to dashboard Cite

SummaryObjectives: This literature review sought to identify the established evidence of the health and healthcare benefits (or harms) from the use of electronic personal health records (PHRs) and PHR systems. Methods: The definition of a PHR published in ISO 14292 was used to scope this review and the search strategy. Publications were included if the introduction of a PHR was the primary intervention, and if its evaluation met one of the Cochrane EPOC Group criteria. Studies were excluded if they only reported the design or basic user acceptance of a PHR system without an assessment of its impact on individuals and/or their health care. The impacts were classified according to the six aims of 21st-century health care defined by the US Institute of Medicine. Results: Searches were conducted in PubMed in December 2012. Out of 741 papers that met our initial search criteria, 31 were retained after title and abstract screening. After full paper review 5 studies were found to report original evidence of impact. Of these, three reported beneficial impacts on effectiveness, one on patient centredness, and one study reported impact on both aims. No harmful effects were reported. Conclusions: Although this literature review did identify some evidenced benefits from the use of PHRs and systems, our main observation is that there are very few studies published that seek to formally evaluate impact. The majority of publications we screened documented designs or basic user acceptance. Further investment in evaluation is needed to inform the evolution of this field.

show abstract

A review of the empirical evidence of the value of structuring and coding of clinical information within electronic health records for direct patient care

Cited by 12 publications

References 26 publications

Documenting Routinely What Matters to People: Standardized Headings for Health Records of Patients with Chronic Health Conditions

Documenting Routinely What Matters to People: Standardized Headings for Health Records of Patients with Chronic Health Conditions

Tailoring implementation strategies for evidence-based recommendations using computerised clinical decision support systems: protocol for the development of the GUIDES tools

A Review of the Empirical Evidence of the Healthcare Benefits of Personal Health Records

Contact Info

Product

Resources

About