ArticleDiagnosis (Berlin, Germany)2019
Electronic health records, communication, and data sharing: challenges and opportunities for improving the diagnostic process.
Article in Diagnosis (Berlin, Germany), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 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
51 citing papers in PubMed, 3 syntheses or guidelines pooled it, 110 citations in OpenAlex.
- Pooled it
- Physician Burnout and the Electronic Health Record Leading Up to and During the First Year of COVID-19: Systematic Review.Journal of medical Internet research · 2022Pooled it
- A systematic review of evidence-based practices for clinical education and health care delivery in the clinical teaching unit.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022Pooled it
- Implementing pharmacist-prescriber collaboration to improve evidence-based anticoagulant use: a randomized trial.Implementation science : IS · 2023Trial
- AI in Psychiatry for Improving Continuity of Patient Care: Protocol for a Mixed Methods Systematic Review.JMIR research protocols · 2026Article
- A lifecycle governance and learning health system framework for trustworthy, generalizable, and sustainable human-ai partnership in clinical practice: Lessons from the asthma-guidance and prediction system (A-GPS).Journal of the National Medical Association · 2026Review
- 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
- Article
- Development and content validation of a health assessment item bank for regional health big data: a sequential mixed-methods approach.Health and quality of life outcomes · 2026Article
- Evaluating patient acceptability of clinical pharmacist engagement following clinical decision support.Exploratory research in clinical and social pharmacy · 2026Article
- Analysis of Patient Safety Event Report to Understand the Contribution of Health IT to Diagnostic Error.Journal of patient safety · 2026Article
- Requirements and Use Cases for eHealth Solutions in Flexible Assertive Community Treatment Teams: Design Science Study.JMIR formative research · 2026Article
- Tuberculosis: An Ongoing Global Threat.Advances in experimental medicine and biology · 2026Review
- Resilient Sinkhorn-Based Optimal Transport Late Fusion Framework for Breast Cancer Diagnosis.Cancer informatics · 2026Article
- Bridging Global Frameworks and Local Practice: Quantitative Evaluation of Electronic Health Record Safety in Kuwait's Public Hospitals.JMIR medical informatics · 2025Article
- Health Information Systems' Support for Management and Changing Work: Survey Study Among Physicians.JMIR medical informatics · 2025Article
- A scoping review of self-supervised representation learning for clinical decision making using EHR categorical data.NPJ digital medicine · 2025Article
- Acceptability, benefits and barriers of electronic health record radiology image sharing: A mixed-method study.Journal of medical radiation sciences · 2025Article
- Insights into healthcare workers' perceptions of electronic medical record system utilization: a cross-sectional study in Mafeteng district, Lesotho.BMC medical informatics and decision making · 2025Article
- Identifying Medication Review Topics to Be Documented in a Structured Form in Electronic Health Record Systems: Delphi Consensus Survey.Journal of medical Internet research · 2025Article
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 at 2 institutions in 1 country.
Funding
Abstract
Background Diagnosis requires that clinicians communicate and share patient information in an efficient manner. Advances in electronic health records (EHRs) and health information technologies have created both challenges and opportunities for such communication. Methods We conducted a multi-method, focused ethnographic study of physicians on general medicine inpatient units in two teaching hospitals. Physician teams were observed during and after morning rounds to understand workflow, data sharing and communication during diagnosis. To validate findings, interviews and focus groups were conducted with physicians. Field notes and interview/focus group transcripts were reviewed and themes identified using content analysis. Results Existing communication technologies and EHR-based data sharing processes were perceived as barriers to diagnosis. In particular, reliance on paging systems and lack of face-to-face communication among clinicians created obstacles to sustained thinking and discussion of diagnostic decision-making. Further, the EHR created data overload and data fragmentation, making integration for diagnosis difficult. To improve diagnosis, physicians recommended replacing pagers with two-way communication devices, restructuring the EHR to facilitate access to key information and improving training on EHR systems. Conclusions As advances in health information technology evolve, challenges in the way clinicians share information during the diagnostic process will rise. To improve diagnosis, changes to both the technology and the way in which we use it may be necessary.
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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.