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Under a Creative Commons license Open access Highlights• Implementation process of Electronic Health Records (EHRs) is critical for success. •Vast literature available on EHR implementations in different settings and contexts. •Organizational, Human and Technological factors influence success across settings. •Dynamic interaction of the identified factors trigger success. •Consideration of the specific healthcare context and end-users is important. AbstractAimTo summarize the findings from literature reviews with a view to identifying and exploring the key factors which impact on the success of an EHR implementation across different healthcare contexts. IntroductionDespite the widely recognised benefits of electronic health records (EHRs), their full potential has not always been achieved, often as a consequence of the implementation process. As more countries launch national EHR programmes, it is critical that the most up-to-date and relevant international learnings are shared with key stakeholders. MethodsA rapid umbrella review was undertaken in collaboration with a multidisciplinary panel of knowledge-users and experts from Ireland. A comprehensive literature review was completed (2019) across several search engines (PubMed, CINAHL, Scopus, Embase, Web of Science, IEEE Xplore, ACM Digital Library, ProQuest, Cochrane) and Gray literature. Identified studies (n = 5,040) were subject to eligibility criterion and identified barriers and facilitators were analysed, reviewed, discussed and interpreted by the expert panel. ResultsTwenty-seven literature reviews were identified which captured the key organizational, human and technological factors for a successful EHR implementation according to various stakeholders across different settings. Although the size, type and culture of the healthcare setting impacted on the organizational factors, each was deemed important for EHR success; Governance, leadership and culture, End-user involvement, Training, Support, Resourcing, and Workflows. As well as organizational differences, individual end-users have varying Skills and characteristics, Perceived benefits and incentives, and Perceived changes to the health ecosystem which were also critical to success. Finally, the success of the EHR technology depended on Usability, Interoperability, Adaptability, Infrastructure, Regulation, standards and policies, and Testing. ConclusionFifteen inter-linked organizational, human and technological factors emerged as important for successful EHR implementations across primary, secondary and long-term care settings. In determining how to employ these factors, the local context, individual end-users and advancing technology must also be considered. KeywordsElectronic Health Record Electronic Medical Record Implementation Review Cited by (0)© 2020 The Authors. Published by Elsevier B.V. EHR Goal and System theory a system is a set of interrelated elements that work together to achieve a goal. Clinical transformation is a comprehensive, ongoing approach to care delivery excellence that offers value while measurably improving quality, enhancing service, and reducing costs through the effective alignment of people, process, and technology. one system or a suite of systems that provide a full range of functions 1. Source Systems a component of EHR Clinical Information Systems (CIS) a component of EHR Clinical Decision Support System- part of clinical Information Systems (CIS), one of the components of EHR Computerized Provider Order Entry- part of clinical information Systems (CIS), one of the components of EHR Point of Care Charting- part of clinical information Systems (CIS), one of the components of EHR Electronic (or bar-code) Medication Administration Record System- part of the clinical information Systems (CIS), one of the components of EHR Supporting Infrastructure A component of EHR A component of EHR A component of EHR Laborator Information System Pharmacy Information System Radiology Information Systems Certification Commission on Health Information Technology Which of the following is an example of telemonitoring?An example of telemonitoring includes remote evaluation and diagnosis of sleep disorders. Other examples include wearable fitness devices that record your heart rate and activity such as steps walked.
What does an EHR do with information besides contain and transmit the information?EHRs are a vital part of health IT and can: Contain a patient's medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory and test results. Allow access to evidence-based tools that providers can use to make decisions about a patient's care.
What is the main benefit to having decision support available in EHRs?BETTER DECISIONS AND MORE COORDINATED CARE WITH EHRS
More complete patient information available from EHRs enables providers to make well-informed care decisions quickly, helping to improve care and reduce safety risks.
Which of the following is an advantage of electronic health record use?Improving patient and provider interaction and communication, as well as health care convenience. Enabling safer, more reliable prescribing. Helping promote legible, complete documentation and accurate, streamlined coding and billing. Enhancing privacy and security of patient data.
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