Technological progress in electronic health record system optimization: Systematic review of systematic literature reviews

Negro‐Calduch, Elsa; Azzopardi-Muscat, Natasha; Krishnamurthy, Ramesh; Novillo-Ortiz, David

doi:10.1016/j.ijmedinf.2021.104507

Cited by 75 publications

(42 citation statements)

References 36 publications

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“…This approach is rather traditional. Relevant innovative work has been recently carried out [33][34][35][36][37][38][39][40]; however, in order to apply such approaches, a legislative adjustment would be necessary. This is particularly evident in relation to blockchain systems, in which distributed data storage-a typical feature of this approach-is currently strongly countered by public administration data managers in many countries.…”

Section: Discussionmentioning

confidence: 99%

An Interoperable Electronic Health Record System for Clinical Cardiology

et al. 2022

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Currently in hospitals, there are several separate information systems that manage, very often autonomously, the patient’s personal, clinical and diagnostic data. An electronic health record system has been specifically developed for a cardiology ward and it has been designed “ab initio” to be fully integrated into the hospital information system and to exchange data with the regional health information infrastructure. All documents have been given as Health Level 7 (HL7) clinical document architecture and messages are sent as HL7-Version 2 (V2) and/or HL7 Fast Healthcare Interoperability Resources (FHIR). Specific decision support sections for specific aspects have also been included. The system has been used for more than three years with a good level of satisfaction by the users. In the future, the system can be the basis for secondary use for clinical studies, further decision support systems and clinical trials.

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Section: Discussionmentioning

confidence: 99%

An Interoperable Electronic Health Record System for Clinical Cardiology

et al. 2022

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“…Hay evidencia sustancial de que la implementación de la HCE reduce los errores médicos y mejora la SP 2 , 3 , 4 . En una reciente revisión sistemática con metaanálisis sobre el impacto de la HCE en la calidad de la asistencia y la SP 12 , los resultados mostraron que las organizaciones que implementaron la HCE tuvieron una reducción de los errores de medicación de un 54% y una reducción de las reacciones adversas a los medicamentos en un 34%.…”

Section: Impacto Y Características De La Hce Con Respecto a La Sp: Ventajas Y Problemasunclassified

“…La implantación de las TIS supone la introducción de una importante herramienta para reducir los fallos y errores mejorando la seguridad de la asistencia. Numerosos estudios e informes han mostrado los resultados de la implementación de la HCE, así como de la RE, sobre la calidad de la atención médica y la SP, con resultados favorables en la mayoría de ellos 3 , 4 . Sin embargo, existe el peligro de que el desarrollo no sea efectivo o que, con motivo de este desarrollo, aparezcan nuevos problemas de seguridad 5 .…”

Section: Introductionunclassified

Historia clínica y receta electrónica: riesgos y beneficios detectados desde su implantación. Diseño, despliegue y usos seguros

et al. 2021

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Las nuevas tecnologías de la información han transformado la manera de prestar la asistencia en los servicios de salud, impregnando casi todos los aspectos de la atención sanitaria. A medida que la complejidad del sistema aumenta, es más difícil trabajar de manera óptima sin la asistencia de las nuevas tecnologías. Su implantación supone un avance, bien por el adelanto que entraña el uso adecuado de cualquier nueva tecnología en el cuidado de la salud, bien por el desarrollo de aplicaciones específicas que mejoran la seguridad de la asistencia. Sin embargo, factores como un diseño incorrecto, implementación y mantenimiento deficientes, capacitación inadecuada, junto al exceso de confianza y dependencia, pueden hacer que las tecnologías comprometan, más que favorecer, la seguridad del paciente. Este artículo describe los efectos beneficiosos, y los que no lo son tanto, de la introducción en nuestro país de la historia clínica y la receta electrónicas en la calidad y la seguridad de la asistencia sanitaria.

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“…Namely, eHealth could help healthcare models shift from traditional client-clinician roles into more person-centered and community-based services where clients are empowered and contribute to making shared decisions [ 5 , 6 , 9 , 10 , 13 , 15 ]. Moreover, the use of a personal health record, as a digital platform, could facilitate direct communication between the client and his/her social network members [ 16 ]. Such a platform enables the continuous participation of the clients in their own care even when they cannot meet in person.…”

Section: Introductionmentioning

confidence: 99%

“…Such a platform enables the continuous participation of the clients in their own care even when they cannot meet in person. In this manner, eHealth may also solve the logistical challenges of shifting towards community-based healthcare [ 1 , 17 ], because planning the treatment within a community-based practice demands more coordination than meeting with the client alone [ 16 ]. Furthermore, it may improve collaboration between service providers [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Integrating eHealth within a Transforming Mental Healthcare Setting: A Qualitative Study into Values, Challenges, and Prerequisites

Lorenz-Artz

Bierbooms

Bongers

2021

IJERPH

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Mental health care is shifting towards more person-centered and community-based health care. Although integrating eHealth within a transforming healthcare setting may help accomplishing the shift, research studying this is lacking. This study aims to improve our understanding of the value of eHealth within a transforming mental healthcare setting and to define the challenges and prerequisites for implementing eHealth in particular within this transforming context. In this article, we present the results of 29 interviews with clients, social network members, and professionals of an ambulatory team in transition within a Dutch mental health care institute. The main finding is that eHealth can support a transforming practice shifting towards more recovery-oriented, person-centered, and community-based service in which shared-decision making is self-evident. The main challenge revealed is how to deal with clients’ voices, when professionals see the value of eHealth but clients do not want to start using eHealth. The shift towards client-centered and network-oriented care models and towards blended care models are both high-impact changes in themselves. Acknowledging the complexity of combining these high-impact changes might be the first step towards creating blended client-centered and network-oriented care. Future research should examine whether and how these substantial shifts could be mutually supportive.

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Technological progress in electronic health record system optimization: Systematic review of systematic literature reviews

Cited by 75 publications

References 36 publications

An Interoperable Electronic Health Record System for Clinical Cardiology

An Interoperable Electronic Health Record System for Clinical Cardiology

Historia clínica y receta electrónica: riesgos y beneficios detectados desde su implantación. Diseño, despliegue y usos seguros

Integrating eHealth within a Transforming Mental Healthcare Setting: A Qualitative Study into Values, Challenges, and Prerequisites

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