SynthesisBMC health services research2014
Implementing electronic health records in hospitals: a systematic literature review.
Synthesis in BMC health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 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
100 citing papers in PubMed, 11 syntheses or guidelines pooled it.
- From interface to outcome: a 4I framework for AI-linked functionality in electronic health records.BMC medical informatics and decision making · 2026Pooled it
- Telemedicine Implementation for Safety Net Populations: A Systematic Review.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024Pooled it
- Validated risk prediction models for outcomes of acute kidney injury: a systematic review.BMC nephrology · 2023Pooled it
- Systematic review of applied usability metrics within usability evaluation methods for hospital electronic healthcare record systems: Metrics and Evaluation Methods for eHealth Systems.Journal of evaluation in clinical practice · 2021Pooled it
- The impact of health information technology on prescribing errors in hospitals: a systematic review and behaviour change technique analysis.Systematic reviews · 2020Pooled it
- Successfully implementing a national electronic health record: a rapid umbrella review.International journal of medical informatics · 2020Pooled it
- Clinical prediction models for acute kidney injury.Revista Brasileira de terapia intensiva · 2020Pooled it
- How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies.BMJ quality & safety · 2019Pooled it
- Strategies for improving physician documentation in the emergency department: a systematic review.BMC emergency medicine · 2018Pooled it
- Human resource information systems in health care: a systematic evidence review.Journal of the American Medical Informatics Association : JAMIA · 2017Pooled it
- A Systematic Investigation on Barriers and Critical Success Factors for Clinical Information Systems in Integrated Care Settings.Yearbook of medical informatics · 2015Pooled it
- User Experiences of Electronic Controlled Substance Surveillance Among Health Care Professionals in a Large Academic Hospital: Cross-Sectional Survey.Journal of medical Internet research · 2026Article
- Harnessing institutional knowledge: mixed methods evaluation of peer coaching in a multi-site EHR transition.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Enhancing Care Coordination and Patient Engagement Through Electronic Medical Record Utilization in Primary Healthcare: A Mixed-Methods Study.Healthcare (Basel, Switzerland) · 2026Article
- Exploring the Impact of Electronic Medical Record-Enabled Versus Paper-Based Systems on the Quality of Nursing Handover: Comparative Case-Study.JMIR nursing · 2026Article
- Effectiveness and Challenges of Electronic Health Record Use in the Bosomtwe District, Ashanti Region, Ghana; A Cross-Sectional Study.Health science reports · 2026Article
- Strategies to promote the dissemination of psychosocial digital health resources for those affected by cancer: scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Attitudes towards electronic health records and attending training among licensed practical nurses: a cross-sectional survey study.BMC nursing · 2026Article
- Evaluating the Effectiveness of Health Information Management Systems in Facilitating Quality Healthcare Service: A Cross-Sectional Study.Health science reports · 2026Article
- Toward a National Health Digital and Data Architecture: Laying the Foundation for Digital Transformation: Commission on Investment Imperatives for a Healthy Nation.NAM perspectives · 2026Review
40 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
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe 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.
methodsA 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.
resultsOf 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.
conclusionsAlthough 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.
Indexed as
Identifiers
What OpenQuestion holds
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.