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01.12.2014 | Research article | Ausgabe 1/2014 Open Access

BMC Health Services Research 1/2014

Implementing electronic health records in hospitals: a systematic literature review

Zeitschrift:
BMC Health Services Research > Ausgabe 1/2014
Autoren:
Albert Boonstra, Arie Versluis, Janita F J Vos
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1472-6963-14-370) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

AB and JV established the research design and made significant contributions to the interpretation of the results. They supervised AV throughout the study, and participated in writing the final version of this paper. AV contributed substantially to the selection and analysis of included papers, and wrote a preliminary draft of this article. All authors have read and approved the final manuscript.

Abstract

Background

The literature on implementing Electronic Health Records (EHR) in hospitals is very diverse. The objective of this study is to create an overview of the existing literature on EHR implementation in hospitals and to identify generally applicable findings and lessons for implementers.

Methods

A systematic literature review of empirical research on EHR implementation was conducted. Databases used included Web of Knowledge, EBSCO, and Cochrane Library. Relevant references in the selected articles were also analyzed. Search terms included Electronic Health Record (and synonyms), implementation, and hospital (and synonyms). Articles had to meet the following requirements: (1) written in English, (2) full text available online, (3) based on primary empirical data, (4) focused on hospital-wide EHR implementation, and (5) satisfying established quality criteria.

Results

Of the 364 initially identified articles, this study analyzes the 21 articles that met the requirements. From these articles, 19 interventions were identified that are generally applicable and these were placed in a framework consisting of the following three interacting dimensions: (1) EHR context, (2) EHR content, and (3) EHR implementation process.

Conclusions

Although EHR systems are anticipated as having positive effects on the performance of hospitals, their implementation is a complex undertaking. This systematic review reveals reasons for this complexity and presents a framework of 19 interventions that can help overcome typical problems in EHR implementation. This framework can function as a reference for implementers in developing effective EHR implementation strategies for hospitals.
Zusatzmaterial
Authors’ original file for figure 1
12913_2013_3470_MOESM1_ESM.pdf
Authors’ original file for figure 2
12913_2013_3470_MOESM2_ESM.pdf
Literatur
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