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

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Publicado no:Journal of Health Organization and Management vol. 38, no. 3 (2024), p. 372-388
Autor principal: Mwogosi, Augustino
Outros Autores: Shao, Deo, Kibusi, Stephen, Ntuli Kapologwe
Publicado em:
Emerald Group Publishing Limited
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024 7 |a 10.1108/JHOM-04-2023-0122  |2 doi 
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100 1 |a Mwogosi, Augustino  |u Department of Information Systems and Technology, College of Informatics and Virtual Education, The University of Dodoma, Dodoma City, United Republic of Tanzania 
245 1 |a Revolutionizing decision support: a systematic literature review of contextual implementation models for electronic health records systems 
260 |b Emerald Group Publishing Limited  |c 2024 
513 |a Journal Article 
520 3 |a 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. 
651 4 |a Italy 
651 4 |a Turkey 
651 4 |a Denmark 
651 4 |a United Kingdom--UK 
651 4 |a England 
651 4 |a Argentina 
651 4 |a Indonesia 
651 4 |a United States--US 
651 4 |a India 
651 4 |a China 
651 4 |a Taiwan 
653 |a Health facilities 
653 |a Industrialized nations 
653 |a English language 
653 |a Order entry 
653 |a Electronic health records 
653 |a Systematic review 
653 |a Clinical decision making 
653 |a Decision making 
653 |a Implementation 
653 |a Hospitals 
653 |a Computerized medical records 
653 |a Health records 
653 |a Literature reviews 
653 |a Human factors 
653 |a Decision support systems 
653 |a Health care management 
653 |a Meta-analysis 
653 |a Qualitative research 
653 |a Medical records 
653 |a Archives & records 
653 |a Decision analysis 
653 |a Organizational effectiveness 
653 |a Health services 
653 |a Medical decision making 
700 1 |a Shao, Deo  |u Department of Information Systems and Technology, College of Informatics and Virtual Education, The University of Dodoma, Dodoma City, United Republic of Tanzania 
700 1 |a Kibusi, Stephen  |u Department of Public Health, The University of Dodoma, Dodoma City, United Republic of Tanzania 
700 1 |a Ntuli Kapologwe  |u United Republic of Tanzania President’s Office, Dar es Salaam, United Republic of Tanzania 
773 0 |t Journal of Health Organization and Management  |g vol. 38, no. 3 (2024), p. 372-388 
786 0 |d ProQuest  |t ABI/INFORM Global 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3063174149/abstract/embedded/75I98GEZK8WCJMPQ?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3063174149/fulltext/embedded/75I98GEZK8WCJMPQ?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3063174149/fulltextPDF/embedded/75I98GEZK8WCJMPQ?source=fedsrch