ArticleYearbook of medical informatics2016
New Unintended Adverse Consequences of Electronic Health Records.
Article in Yearbook of medical informatics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01710293 (Automated Point-of-Care Surveillance of Outpatient Delays in Cancer Diagnosis), which is not on this map. Cited by 39 papers, 2 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.
Automated Point-of-Care Surveillance of Outpatient Delays in Cancer Diagnosis
Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Conceptualizing clinical decision support as complex interventions: a meta-analysis of comparative effectiveness trials.Journal of the American Medical Informatics Association : JAMIA · 2022Pooled it
- The Effect of the Electronic Health Record on Interprofessional Practice: A Systematic Review.Applied clinical informatics · 2022Pooled it
- Why Nurses Intend to Override AI Alerts: How Alert Fatigue, Moral Distress, and Team Psychological Safety Shape Self-Reported Trust Calibration Toward Clinical Decision Support.Healthcare (Basel, Switzerland) · 2026Article
- Clinician Perceptions of Barriers and Strategies to Improve Pediatric Hypertension Detection.JAMA network open · 2026Article
- Investigating Information Visualization to Combat Information Overload in Electronic Health Records: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2025Article
- Tensions in large-scale electronic health record implementations: insights from a meta-synthesis.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Article
- Defining Documentation Burden (DocBurden) and Excessive DocBurden for All Health Professionals: A Scoping Review.Applied clinical informatics · 2024Article
- Medical and nursing clinician perspectives on the usability of the hospital electronic medical record: A qualitative analysis.Health information management : journal of the Health Information Management Association of Australia · 2024Article
- Strategies used to detect and mitigate system-related errors over time: A qualitative study in an Australian health district.BMC health services research · 2024Article
- Optimization of Electronic Health Record Usability Through a Department-Led Quality Improvement Process.Annals of family medicine · 2024Article
- Semantically oriented EHR navigation with a patient specific knowledge base and a clinical context ontology.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023Article
- The Impact of Training on Electronic Health Records Related Knowledge, Practical Competencies, and Staff Satisfaction: A Pre-Post Intervention Study Among Wellness Center Providers in a Primary Health-Care Facility.Journal of multidisciplinary healthcare · 2023Article
- Electronic healthcare applications and programs among healthcare workers in Riyadh and conflict management.Journal of Taibah University Medical Sciences · 2022Article
- A Scalable Service to Improve Health Care Quality Through Precision Audit and Feedback: Proposal for a Randomized Controlled Trial.JMIR research protocols · 2022Article
- Workarounds in Electronic Health Record Systems and the Revised Sociotechnical Electronic Health Record Workaround Analysis Framework: Scoping Review.Journal of medical Internet research · 2022Article
- Using Time Series Clustering to Segment and Infer Emergency Department Nursing Shifts from Electronic Health Record Log Files.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022Article
- A simple electronic medical record system designed for research.JAMIA open · 2021Article
- The Effect of Electronic Health Record Burden on Pediatricians' Work-Life Balance and Career Satisfaction.Applied clinical informatics · 2021Article
- Novel Nonproprietary Measures of Ambulatory Electronic Health Record Use Associated with Physician Work Exhaustion.Applied clinical informatics · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
Although the health information technology industry has made considerable progress in the design, development, implementation, and use of electronic health records (EHRs), the lofty expectations of the early pioneers have not been met. In 2006, the Provider Order Entry Team at Oregon Health & Science University described a set of unintended adverse consequences (UACs), or unpredictable, emergent problems associated with computer-based provider order entry implementation, use, and maintenance. Many of these originally identified UACs have not been completely addressed or alleviated, some have evolved over time, and some new ones have emerged as EHRs became more widely available. The rapid increase in the adoption of EHRs, coupled with the changes in the types and attitudes of clinical users, has led to several new UACs, specifically: complete clinical information unavailable at the point of care; lack of innovations to improve system usability leading to frustrating user experiences; inadvertent disclosure of large amounts of patient-specific information; increased focus on computer-based quality measurement negatively affecting clinical workflows and patient-provider interactions; information overload from marginally useful computer-generated data; and a decline in the development and use of internally-developed EHRs. While each of these new UACs poses significant challenges to EHR developers and users alike, they also offer many opportunities. The challenge for clinical informatics researchers is to continue to refine our current systems while exploring new methods of overcoming these challenges and developing innovations to improve EHR interoperability, usability, security, functionality, clinical quality measurement, and information summarization and display.
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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.