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

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Detalles Bibliográficos
Publicado en:	Journal of Health Organization and Management vol. 38, no. 3 (2024), p. 372-388
Autor principal:	Mwogosi, Augustino
Otros Autores:	Shao, Deo, Kibusi, Stephen, Ntuli Kapologwe
Publicado:	Emerald Group Publishing Limited
Materias:	Italy Turkey Denmark United Kingdom > UK England Argentina Indonesia United States > US India China Taiwan Health facilities Industrialized nations English language Order entry Electronic health records Systematic review Clinical decision making Decision making Implementation Hospitals Computerized medical records Health records Literature reviews Human factors Decision support systems Health care management Meta-analysis Qualitative research Medical records Archives & records Decision analysis Organizational effectiveness Health services Medical decision making
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Descripción
Resumen:	PurposeThis study aims to assess previously developed Electronic Health Records System (EHRS) implementation models and identify successful models for decision support.Design/methodology/approachA 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.FindingsThe 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/valueThis 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.
ISSN:	1477-7266 1758-7247 0268-9235
DOI:	10.1108/JHOM-04-2023-0122
Fuente:	ABI/INFORM Global