Introduction
Material and methods
Eligibility criteria
Type of studies
Information sources and search strategy
Database | Search strategy |
---|---|
PubMed | Search strategy 1- ((((“electronic health records”) AND (healthcare quality)) AND (save)) AND (improve)) AND (patients); Search strategy 2- (((electronic health record) AND ((medical OR healthcare) AND decision) AND (missing data)) NOT (impact)) NOT (systematic review); Search strategy 3-((((“electronic health records missing data imputation”) NOT (systematic review)) NOT (meta-analysis)) NOT (review)) |
Scopus | Search strategy 1- TITLE-ABS-KEY (“electronic health records” AND ((healthcare OR medical) AND (choice OR process OR decision OR order)) AND ((lost OR missing) AND data)); Search strategy 2- TITLE-ABS-KEY (“electronic medical records” AND ((healthcare OR medical) AND (choice OR process OR decision OR order)) AND ((lost OR missing) AND data) AND NOT (impact OR drawback)) AND (LIMIT-TO (SUBJAREA, “MEDI”)); Search strategy 3- TITLE-ABS-KEY (“electronic health records” AND “missing data” AND (imputation OR generation) AND NOT (systematic AND review OR review)); Search strategy 4- electronic health record AND healthcare quality AND save cost time AND health system AND improve AND NOT systematic review AND NOT meta-analysis |
Google Scholar | Search strategy 1- (“benefits” OR “advantage”)(“electronic health records”)(“healthcare quality”)(“medical decision” OR “medical choice””) (“missing data”); Search strategy 2- EHRs missing data medical decision quality advantage OR benefits “electronic health records” “missing data” -impact -affect –“systematic review”; Search strategy 3- electronic health records missing data imputation “electronic health records” -impact -drawback –“systematic review” -review –“meta analysis” |
Results
Study selection
Number of records | |
---|---|
Total records identified: | 1,972 |
PubMed | 313 |
Scopus | 519 |
Google Scholar | 1,140 |
Duplicate records among different databases | 20 |
Records screened (Title & Abstract) after duplicate removal | 1,952 |
Total records excluded: | 1,935 |
Due to irrelevance | 1,897 |
Due to inability to retrieve them from the authors | 38 |
Total records included in the review | 17 |
‘EHRs and improvement of medical quality and health system’ | 8 |
‘Missing data in the context of EHRs’ | 9 |
EHRs and quality, in relation to medical decision making
Study (Author, Year) | Main findings |
---|---|
Vuppalapati et al. [22] | - Selfies taken for medical image purposes are valuable outpatient healthcare data assets that could provide new clinical insights - Diagnostics markers that could provide prognosis of a potential masked disease and necessitate actions to avert any emergency incidence - Improve overall health outcomes of people around the globe in a cost-effective manner that epitomizes the confluence of popularity with curiosity and sharing with accountability |
Bar-Dayan et al. [23] | - Positive net financial return from using an electronic medical record system - Referring patients to preferred providers from classes 1–3 was achieved without administrative staff aid. Increased efficiency by redirecting the administrative manpower engaged in this task to other goals - Using EHRs to direct referrals to preferred specialty care physicians, accompanied by a comprehensive physician education program, can play a significant role in facilitating effective utilization of healthcare providers and in lowering costs |
Lardon et al. [24] | - A business rule management system could be a good basis to implement a tool to help and check diagnosis codes - Development of rules based on EHR data with the Drools rules engine in order to support diagnosis coding of chronic kidney disease (CKD) |
Garnica et al. [25] | - Electronic health records were shown to help in the prognosis of bacteremia, involving early diagnosis for the provision of treatments to avoid complications and death - The three ML supervised classifiers create accurate predictive models of the blood culture outcome using hospital electronic health records |
Zaballa et al. [26] | - Identification of the actions in the health system associated with a disease - Identification of those patients with a complete treatment for the disease - Discovery of common treatment pathways followed by the patients with a specific diagnosis |
King et al. [27] | - Most physicians with EHRs reported EHR use enhanced patient care overall, helped them access a patient’s chart remotely, and alerted them to a potential medication error and critical lab values - EHR use was associated with clinical benefits related to providing recommended care, ordering appropriate tests, and facilitating patient communication |
Huang et al. [28] | - Timely and accurate prediction of major adverse cardiovascular events after acute coronary syndrome - Assist clinicians to pay more attention to high-risk patients and improve the quality and efficiency of care accordingly |
Linder et al. [29] | - This electronic health record–based intervention improved smoking status documentation and increased counseling assistance to smokers - There was also a suggestion that outcomes of care may have also improved |