Revolutionizing decision support: a systematic literature review of contextual implementation models for electronic health records systems.

IF 1.7 4区医学 Q3 HEALTH POLICY & SERVICES

Journal of Health Organization and Management Pub Date : 2024-05-06 DOI:10.1108/JHOM-04-2023-0122

Augustino Mwogosi, Deo Shao, Stephen Kibusi, Ntuli Kapologwe

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引用次数: 0

Abstract

Purpose: This study aims to assess previously developed Electronic Health Records System (EHRS) implementation models and identify successful models for decision support.

Design/methodology/approach: A systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The data sources used were Scopus, PubMed and Google Scholar. The review identified peer-reviewed papers published in the English Language from January 2010 to April 2023, targeting well-defined implementation of EHRS with decision-support capabilities in healthcare. To comprehensively address the research question, we ensured that all potential sources of evidence were considered, and quantitative and qualitative studies reporting primary data and systematic review studies that directly addressed the research question were included in the review. By including these studies in our analysis, we aimed to provide a more thorough and reliable evaluation of the available evidence.

Findings: The findings suggest that the success of EHRS implementation is determined by organizational and human factors rather than technical factors alone. Successful implementation is dependent on a suitable implementation framework and management of EHRS. The review identified the capabilities of Clinical Decision Support (CDS) tools as essential in the effectiveness of EHRS in supporting decision-making.

Originality/value: This study contributes to the existing literature on EHRS implementation models and identifies successful models for decision support. The findings can inform future implementations and guide decision-making in healthcare facilities.

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彻底改变决策支持：电子健康记录系统情境实施模式的系统文献综述。

目的：本研究旨在评估以前开发的电子健康记录系统（EHRS）实施模式，并确定决策支持的成功模式：系统综述遵循《系统综述和元分析首选报告项目》（Preferred Reporting Items for Systematic Reviews and Meta-Analyses，PRISMA）指南。使用的数据来源包括 Scopus、PubMed 和 Google Scholar。综述确定了 2010 年 1 月至 2023 年 4 月期间以英语发表的同行评审论文，其目标是在医疗保健领域实施具有决策支持功能的定义明确的 EHRS。为全面解决研究问题，我们确保考虑到所有潜在的证据来源，并将报告原始数据的定量和定性研究以及直接针对研究问题的系统综述研究纳入综述。通过将这些研究纳入分析，我们旨在对现有证据进行更全面、更可靠的评估：研究结果表明，电子病历系统的成功实施取决于组织和人为因素，而不仅仅是技术因素。成功实施取决于合适的实施框架和对电子病历系统的管理。综述发现，临床决策支持（CDS）工具的能力对电子病历系统支持决策的有效性至关重要：原创性/价值：本研究为有关电子病历系统实施模式的现有文献做出了贡献，并确定了决策支持的成功模式。研究结果可为今后的实施工作提供参考，并为医疗机构的决策提供指导。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Health Organization and Management HEALTH POLICY & SERVICES-

CiteScore

3.20

自引率

7.10%

发文量

期刊介绍： ■International health and international organizations ■Organisational behaviour, governance, management and leadership ■The inter-relationship of health and public sector services ■Theories and practices of management and leadership in health and related organizations ■Emotion in health care organizations ■Management education and training ■Industrial relations and human resource theory and management. As the demands on the health care industry both polarize and intensify, effective management of financial and human resources, the restructuring of organizations and the handling of market forces are increasingly important areas for the industry to address.