ArticleRisk management and healthcare policy2011
Benefits and drawbacks of electronic health record systems.
Article in Risk management and healthcare policy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 304 papers, 11 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
304 citing papers in PubMed, 11 syntheses or guidelines pooled it.
- Patterns of multimorbidity, their outcomes and analytical methods for their determination: a systematic review.BMC public health · 2026Pooled it
- Electronic Health Record Interventions to Reduce Risk of Hospital Readmissions: A Systematic Review and Meta-Analysis.JAMA network open · 2025Pooled it
- The influence of electronic health record design on usability and medication safety: systematic review.BMC health services research · 2025Pooled it
- The utility of website-based quality improvement tools for health professionals: a systematic review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024Pooled it
- Utilization of EHRs for clinical trials: a systematic review.BMC medical research methodology · 2024Pooled it
- The global effect of digital health technologies on health workers' competencies and health workplace: an umbrella review of systematic reviews and lexical-based and sentence-based meta-analysis.The Lancet. Digital health · 2023Pooled it
- A Process Related View on the Usage of Electronic Health Records from the Patients' Perspective: A Systematic Review.Journal of medical systems · 2022Pooled it
- Clinical and operational insights from data-driven care pathway mapping: a systematic review.BMC medical informatics and decision making · 2022Pooled it
- Which Electronic Health Record System Should We Use? A Systematic Review.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2022Pooled it
- Interaction Time with Electronic Health Records: A Systematic Review.Applied clinical informatics · 2021Pooled it
- Development of the Joint Commission of Taiwan's Smart Healthcare Standard.Journal of medical systems · 2021Pooled it
- Comparison of self-report and administrative data sources to capture health care resource use in people with chronic obstructive pulmonary disease following pulmonary rehabilitation.BMC health services research · 2020Trial
- Lessons learned from service design of a trial of a digital mental health service: Informing implementation in primary care clinics.Translational behavioral medicine · 2020Trial
- AI-based multimodal integration of genomics and electronic health records.Nature reviews. Genetics · 2026Review
- Impact of Digitalization on Performance of Dutch Hospitals: Longitudinal Quantitative Study.Journal of medical Internet research · 2026Observational
- Data Privacy in Medical Informatics and Electronic Health Records: A Bibliometric Analysis.Health care analysis : HCA : journal of health philosophy and policy · 2026Article
- Article
- Quantifying and Visualizing Emergency Physician Workflow: Observational Time-Motion Study.JMIR medical informatics · 2026Observational
- Users' opinions on the use of electronic health records at the Upper East Regional Hospital, Ghana: a qualitative study.BMC medical informatics and decision making · 2026Article
- Natural Language Processing Applied to Psychiatric Clinical Notes: Scoping Review.JMIR medical informatics · 2026Article
244 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 that was signed into law as part of the "stimulus package" represents the largest US initiative to date that is designed to encourage widespread use of electronic health records (EHRs). In light of the changes anticipated from this policy initiative, the purpose of this paper is to review and summarize the literature on the benefits and drawbacks of EHR systems. Much of the literature has focused on key EHR functionalities, including clinical decision support systems, computerized order entry systems, and health information exchange. Our paper describes the potential benefits of EHRs that include clinical outcomes (eg, improved quality, reduced medical errors), organizational outcomes (eg, financial and operational benefits), and societal outcomes (eg, improved ability to conduct research, improved population health, reduced costs). Despite these benefits, studies in the literature highlight drawbacks associated with EHRs, which include the high upfront acquisition costs, ongoing maintenance costs, and disruptions to workflows that contribute to temporary losses in productivity that are the result of learning a new system. Moreover, EHRs are associated with potential perceived privacy concerns among patients, which are further addressed legislatively in the HITECH Act. Overall, experts and policymakers believe that significant benefits to patients and society can be realized when EHRs are widely adopted and used in a "meaningful" way.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.