ArticleJournal of medical systems2015
The Association between eHealth Capabilities and the Quality and Safety of Health Care in the Netherlands: Comparison of HIMSS Analytics EMRAM data with Elsevier's 'The Best Hospitals' data.
Article in Journal of medical systems, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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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.
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Who cites it
8 citing papers in PubMed.
- Impact of Digitalization on Performance of Dutch Hospitals: Longitudinal Quantitative Study.Journal of medical Internet research · 2026Observational
- Assessing the Relationship between Hospital Process Digitalization and Hospital Quality - Evidence from Germany.Journal of medical systems · 2024Article
- Evaluating Digital Health Capability at Scale Using the Digital Health Indicator.Applied clinical informatics · 2022Article
- Value of the Electronic Medical Record for Hospital Care: Update From the Literature.Journal of medical Internet research · 2021Review
- Medical Specialists' Perspectives on the Influence of Electronic Medical Record Use on the Quality of Hospital Care: Semistructured Interview Study.JMIR human factors · 2021Article
- Pros and cons of eHealth: A systematic review of the literature and observations in Denmark.SAGE open medicine · 2021Review
- Level of Digitization in Dutch Hospitals and the Lengths of Stay of Patients with Colorectal Cancer.Journal of medical systems · 2017Article
- Identification of Long Bone Fractures in Radiology Reports Using Natural Language Processing to support Healthcare Quality Improvement.Applied clinical informatics · 2016Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo test the hypothesis that advanced electronic medical record (EMR) capabilities are associated with better quality and safety of hospital care. METHODS AND
findingsWe used data from the HIMSS Analytics EMR Adoption Model (EMRAM(SM)) to measure the adoption and use of information technology in Dutch hospitals. To measure the quality and safety of healthcare in Dutch Hospitals we used select data from the publicly available basic set and the safety set of the Health Care Inspectorate (IGZ) and the Dutch Health Care Transparency Program 'Zichtbare Zorg' (ZIZO) program. The quality and safety measures selected reflect the measures used to score Dutch hospitals as presented in Elsevier's annual 'The Best Hospitals' publication. The scores of this publication are based upon 542 of the 1516 available indicators from this basic set and safety set. Almost all indicators from the hospital-wide indicator sets are included in the selection, as are a large portion of indicators for acute care delivered by all hospitals. Of the 84 non-academic hospitals in the Netherlands, 67 (80 %) were included in this study.
resultsThere is no statistically significant association found between a hospital's EMRAM score and their overall quality/safety performance in the Elsevier hospital scoring model.
conclusionThere is no evidence found to support the research hypothesis at this point in time. This outcome maybe the result of a multiplicity of factors to include the (limited) use of the methodologies used in this study, the fact that no fully digitalized hospital (EMRAM stage 7) is yet present in the NL, and/or the organizational competency of the NL hospitals in fully leveraging the EMR to facilitate patient care. Further research is needed to explore these findings.
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