SynthesisApplied clinical informatics2016
Mind the Gap. A systematic review to identify usability and safety challenges and practices during electronic health record implementation.
Synthesis in Applied clinical informatics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 5 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
47 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- The influence of electronic health record design on usability and medication safety: systematic review.BMC health services research · 2025Pooled it
- Safety and usability of oncology information systems - a systematic review.Frontiers in oncology · 2024Pooled it
- The burden of the digital environment: a systematic review on organization-directed workplace interventions to mitigate physician burnout.Journal of the American Medical Informatics Association : JAMIA · 2021Pooled it
- Successfully implementing a national electronic health record: a rapid umbrella review.International journal of medical informatics · 2020Pooled it
- Are We There Yet? Human Factors Knowledge and Health Information Technology - the Challenges of Implementation and Impact.Yearbook of medical informatics · 2017Pooled it
- Opposite effects of interruption frequency on performance in interrupted and uninterrupted multistep task.Psychological research · 2026Article
- Health care management in Africa: a debate for future research and agenda.Frontiers in digital health · 2026Article
- Mapping the landscape of standardized usability questionnaires in healthcare: a 26-year scoping review.Frontiers in digital health · 2026Review
- Electronic Health Record Downtime Events of a Hospital: A Retrospective Analysis from Adverse Event Reports.Applied clinical informatics · 2025Article
- Exploring a Systems-Based Model of Care for Effective Healthcare Transformation: A Narrative Review in Implementation Science of Saudi Arabia's Vision 2030 Experience.Healthcare (Basel, Switzerland) · 2025Article
- Exploring Physicians' Dual Perspectives on the Transition From Free Text to Structured and Standardized Documentation Practices: Interview and Participant Observational Study.JMIR formative research · 2025Observational
- 25 Years of Electronic Health Record Implementation Processes: Scoping Review.Journal of medical Internet research · 2025Article
- Development and Validation of a Workflow Instrument to Evaluate the Success of Electronic Health Records Implementation from a Nursing Perspective: An Exploratory and Descriptive Study.Global journal on quality and safety in healthcare · 2025Article
- Interventions to Mitigate EHR and Documentation Burden in Health Professions Trainees: A Scoping Review.Applied clinical informatics · 2025Article
- Practical Recommendations for Navigating Digital Tools in Hospitals: Qualitative Interview Study.JMIR medical education · 2024Article
- Realizing the Full Potential of Clinical Decision Support: Translating Usability Testing into Routine Practice in Health Care Operations.Applied clinical informatics · 2024Article
- Registry-derived stage (RD-Stage) for capturing cancer stage at diagnosis for endometrial cancer.BMC cancer · 2023Article
- Medication Safety Amid Technological Change: Usability Evaluation to Inform Inpatient Nurses' Electronic Health Record System Transition.Journal of general internal medicine · 2023Article
- Assessing Usability and Ambulatory Clinical Staff Satisfaction with Two Electronic Health Records.Applied clinical informatics · 2023Article
- An open-source system for efficient clinical trial support: The COMET study experience.PloS one · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveDecisions made during electronic health record (EHR) implementations profoundly affect usability and safety. This study aims to identify gaps between the current literature and key stakeholders' perceptions of usability and safety practices and the challenges encountered during the implementation of EHRs. MATERIALS AND
methodsTwo approaches were used: a literature review and interviews with key stakeholders. We performed a systematic review of the literature to identify usability and safety challenges and best practices during implementation. A total of 55 articles were reviewed through searches of PubMed, Web of Science and Scopus. We used a qualitative approach to identify key stakeholders' perceptions; semi-structured interviews were conducted with a diverse set of health IT stakeholders to understand their current practices and challenges related to usability during implementation. We used a grounded theory approach: data were coded, sorted, and emerging themes were identified. Conclusions from both sources of data were compared to identify areas of misalignment.
resultsWe identified six emerging themes from the literature and stakeholder interviews: cost and resources, risk assessment, governance and consensus building, customization, clinical workflow and usability testing, and training. Across these themes, there were misalignments between the literature and stakeholder perspectives, indicating major gaps. DISCUSSION: Major gaps identified from each of six emerging themes are discussed as critical areas for future research, opportunities for new stakeholder initiatives, and opportunities to better disseminate resources to improve the implementation of EHRs.
conclusionOur analysis identified practices and challenges across six different emerging themes, illustrated important gaps, and results suggest critical areas for future research and dissemination to improve EHR implementation.
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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.