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What to expect from electronic patient record system implementation: Lessons learned from published evidence

Priestman, W; Sridharan, S; Vigne, H; Collins, R; Seamer, L; Sebire, NJ; (2018) What to expect from electronic patient record system implementation: Lessons learned from published evidence. Journal of Innovation in Health Informatics , 25 (2) pp. 92-104. 10.14236/jhi.v25i2.1007. Green open access

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Abstract

Background: Numerous studies have examined specific factors related to success, failure and implications of Electronic patient record (EPR) system implementations, but usually limited to specific aspects. // Objective: To review the published peer-reviewed literature and present findings regarding factors important in relation to successful EPR implementations and likely impact on subsequent clinical activity. // Method: Literature review // Results: 312 potential articles were identified on initial search of which 117 were relevant and included in the review. Several factors were related to implementation success, such as good leadership and management, infrastructure support, staff training and focus on workflows and usability. In general, EPR implementation is associated with improvements in documentation, and screening performance, and reduced prescribing errors, whereas there are minimal available data in other areas such as effects on clinical patient outcomes. The peer-reviewed literature appears to under-represent a range of technical factors important for EPR implementations, such as data migration from existing systems and impact of organisational readiness. // Conclusion: The findings presented here represent synthesis of data from peer-reviewed literature in the field and should be of value to provide the evidence-base for organisations considering how best to implement an EPR system.

Type: Article
Title: What to expect from electronic patient record system implementation: Lessons learned from published evidence
Open access status: An open access version is available from UCL Discovery
DOI: 10.14236/jhi.v25i2.1007
Publisher version: http://dx.doi.org/10.14236/jhi.v25i2.1007
Language: English
Additional information: Copyright © 2018 The Author(s). Published by BCS, The Chartered Institute for IT under Creative Commons license (http://creativecommons.org/licenses/by/4.0/)
Keywords: electronic patient record, information technology, implementation lessons, benefits, barriers
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10052862
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