All quantitative analyses were performed in Excel 2010 (Microsoft Corp., Redmond, WA) and SPSS version 21 (IBM Corp., Armonk, NY). Electronic Health Record, Health Information, HITECH Act, Healthcare System, Information Exchange, Medical Errors, Health Information Technology . If the patient is able to identify the resident who treated them, the surveyor asks each question and records each response verbatim. JA Column heading 1 signifies the best response for each question, 2 the second best, and so on. That’s bec… An electronic health record (EHR) is a systematic electronic collection of health information about patients such as medical history, medication orders, vital signs, laboratory results, radiology reports, and physician and nurse notes. Paolo Campanella, Emanuela Lovato, Claudio Marone, Lucia Fallacara, Agostino Mancuso, Walter Ricciardi, Maria Lucia Specchia, The impact of electronic health records on healthcare quality: a systematic review and meta-analysis, European Journal of Public Health, Volume 26, Issue 1, February 2016, Pages 60–64, https://doi.org/10.1093/eurpub/ckv122. The ARC infrastructure allowed for observation of this trend; however, future research should aim to further validate and understand the etiologies of this improvement. To assess the impact of EHRs on healthcare quality, we hence carried out a systematic review and meta-analysis of published studies on this topic that may provide a rational basis for recommendations. A.A.N. Impact of Electronic Health Records on Long-Term Care Facilities: Systematic Review Overall, implementation of EHRs has been found to be effective in the few LTC facilities that have … Goodman Twelve articles were excluded because full texts were not available, and 352 articles were excluded based on the full text review. Physician‐patient interaction has become an area of increasing focus in an effort to optimize the patient experience. That is, a digital version of a patient's medical history, such as demographics, conditions, diagnoses, prescriptions, and overall health … Sensitive to your physical and emotional needs? Search for other works by this author on: Clinical decision support: effectiveness in improving quality processes and clinical outcomes and factors that may influence success, Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system, The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration, Quantifying heterogeneity in a meta-analysis, Bias in meta-analysis detected by a simple, graphical test, The economics of health care quality and medical errors, Economic measurement of medical errors using a hospital claims database, The social cost of adverse medical events, and what we can do about it, Agency for Healthcare Research and Quality. Statistical comparisons were made using [2] tests. Furthermore, we did not have access to any patient demographic or clinical data. . DA EV Of particular significance is the meaningful use of electronic health records, called EHR's for patients. The presence of publication bias was assessed using a visual funnel plot inspection and Egger’s test. . The controlled, prolonged, and efficient nature of the ARC Medical Program's data collection was ideal for comparing a change in resident‐patient communication before and after EHR implementation at UCLA Health. All statistical tests were performed with Comprehensive Meta-Analysis software version 2.2.064 (Biostat, Englewood, NJ). Diana Regarding the association between EHR and ADEs reduction, subgroup analysis showed a better significant association for EHR including DSS, but a non-significant association for software not including DSS. and A.A.N. contributed equally to this manuscript. . Lim : can we maximize their benefits and minimize their risks? The past decade has successfully delivered data digitization and a reduction in paper records, but the next decade requires healthcare … Strategies for EHR implementation should be therefore recommended and promoted. List of the Advantages of Electronic Health Records… KS In healthcare institutions, it automa… provided faculty support and revised the manuscript. 3. Such evidence may provide healthcare providers with useful indication regarding the kind of EHR software and its proper implementation to improve the quality of health care provided and to generate value. JC Singh [9, 12] Furthermore, objective health outcomes, such as improvement in hypertension and glycosylated hemoglobin, have also been correlated with improved physician‐patient communication. Subgroup analysis confirmed the association between EHR and a reduction of medication errors and showed a better outcome for EHR including DSS, RR of 0.33 (95% CI = 0.25 to 0.45), compared with software without DSS, RR of 0.60 (95% CI = 0.45 to 0.81). Health information technology systems are, in fact, healthcare interventions, and systems for evaluating their efficacy and safety should be as robust as those evaluating other healthcare technologies. According to Versel (2013), “Electronic health records … However, we did not anticipate a significant change in the patient population that would alter the survey responses during this 6‐month period. The volunteers' surveying experience on December 1, 2012 was as follows: (=10 months [237 months], =10 months).Prior to the interview, the surveyor introduces himself or herself, the purpose and length of the interview, and that the patient's anonymous participation is optional and confidential. Moreover, regarding the absence of significant association between EHR and mortality, subgroup analysis confirmed this absence with a slightly better outcome for EHR using DSS, RR of 0.93 (95% CI = 0.58 to 1.49), compared with EHR not using DSS, RR of 1.06 (95% CI = 0.59 to 1.92). Laird The volunteers' surveying experience on December 1, 2012 was as follows: (=10 months [237 months], =10 months). As EHR implementation is exponentially increasing in the United States, there is limited literature on the consequences of this technology. A.A.N. All 16 questions assessing physician‐patient communication received better responses in the 3 months following EHR implementation, compared to the 3 months prior to implementation. Upon receiving verbal consent from the patient, the surveyor presents a picture card to the patient and asks him or her to identify a resident who was on rotation who treated them. Subgroup analyzes for EHR with DSS compared with EHR without DSS provide also interesting results. Studies were considered eligible if they investigated the association between the EHR implementation and process or outcome indicators and if they had a control group who did not use the EHR. Our search was restricted to English language studies published from 1994 to 2013. The materials and methods of this study are largely based on those of a previous study, also published by the ARC Medical Program.[27]. Copyright © by Society of Hospital Medicine or related companies. No association with mortality was evident ( P = 0.936). Sensitivity analysis has shown the stability of the overall effect sizes with the withdrawal of any of the study from the analysis without a significant improvement of the heterogeneity. Furthermore, the authors thank the student volunteers and interns of the ARC Medical program for their commitment and effort to optimize the patient experience. Gunnarsson et al. Sensitivity analyzes were conducted by excluding one study at a time from the meta-analysis to determine whether the results of the meta-analysis were influenced by individual studies and whether risk estimates and heterogeneity were substantially modified. Column heading 1 signifies the best response for each question, 2 the second best, and so on. The positive benefits of EHRs on the facilitation of healthcare, including consolidation of information, reduction of medical errors, easily transferable medical records,[15, 16, 17] as well as their impact on healthcare spending,[18] are well‐documented and have been emphasized as reasons for adoption of EHRs by the Patient Protection and Affordable Care Act. A study of patients and relatives, Reducing legal risk by practicing patient‐centered medicine, Medical malpractice: the effect of doctor‐patient relations on medical patient perceptions and malpractice intentions, Effective physician‐patient communication and health outcomes: a review, Patients' participation in medical care: effects on blood sugar control and quality of life in diabetes, Assessing the effects of physician‐patient interactions on the outcomes of chronic disease, Patient exposition and provider explanation in routine interviews and hypertensive patients' blood control, A framework for making patient‐centered care front and center, Interoperability: the key to the future health care system, Physicians' use of electronic medical records: barriers and solutions, Do hospitals with electronic medical records (EMRs) provide higher quality care? *P<0.05 in 2 analysis. Further research on technical items and procedures that shape the EHR software is needed to identify the features that have value for both clinical results and quality monitoring. Improve public health reporting and surveillance. Forest plot for the meta-analysis of studies reporting on ( a ) EHR and documentation time, ( b ) guideline adherence, ( c ) medication errors, ( d ) ADEs and ( e ) mortality. collected data, performed statistical analyses, and drafted and revised the manuscript. – evaluate the benefits of the implemented system. This included patient representation from 9 departments within UCLA Health. When asked by Medical Economics which task they wish EHR provided more efficiently, 36 percent of healthcare providers cited documentation issues. [9, 10, 11, 12, 13] Specifically, a decrease in psychological symptoms such as anxiety and stress, as well as perception of physical symptoms have been correlated with improved communication. Currently, there is a paucity of data in this area, and existing research offers conflicting results. Upon receiving verbal consent from the patient, the surveyor presents a picture card to the patient and asks him or her to identify a resident who was on rotation who treated them.