ArticleApplied clinical informatics2019
Impact of Electronic versus Paper-Based Recording before EHR Implementation on Health Care Professionals' Perceptions of EHR Use, Data Quality, and Data Reuse.
Article in Applied clinical informatics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Challenges for Data Quality in the Clinical Data Life Cycle: Systematic Review.Journal of medical Internet research · 2025Pooled it
- Pooled it
- Is dementia more likely following traumatic brain injury? A systematic review.Journal of neurology · 2023Pooled it
- Effects of electronic health records implementation on workflow and health care provider outcomes: a prospective, multi-professional cohort study.JAMIA open · 2026Article
- Pregnant women's and health workers' perceptions and experiences on the Rwandan ANC digital module intervention at selected health centres.PLOS digital health · 2026Article
- From Routine Imaging to Risk Stratification: Multimodal Vision-Language Survival Modeling for Pancreatic Cancer.Proceedings. IEEE International Conference on Healthcare Informatics · 2026Article
- 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
- 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
- Assessment of implementation challenges of electronic medical record in Yekatit 12 hospital medical college.PloS one · 2025Article
- Article
- Health professionals' perceptions of electronic health records system: a mixed method study in Ghana.BMC medical informatics and decision making · 2024Article
- End-users' perspectives on factors affecting implementation and utilization of the Iranian electronic health record system: a qualitative study in a developing country.BMC health services research · 2023Article
- Forecasting User Interests Through Topic Tag Predictions in Online Health Communities.IEEE journal of biomedical and health informatics · 2023Article
- Electronic health records in nursing from 2000 to 2020: A bibliometric analysis.Frontiers in public health · 2023Article
- Transition to a new nursing information system embedded with clinical decision support: a mixed-method study using the HOT-fit framework.BMC medical informatics and decision making · 2022Article
- Building Process-Oriented Data Science Solutions for Real-World Healthcare.International journal of environmental research and public health · 2022Article
- How Do Different Health Record Systems Affect Home Health Care? A Cross-Sectional Study of Electronic- versus Manual Documentation System.International journal of general medicine · 2022Article
- Inferring EHR Utilization Workflows through Audit Logs.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022Article
- Implementation challenges and perception of care providers on Electronic Medical Records at St. Paul's and Ayder Hospitals, Ethiopia.BMC medical informatics and decision making · 2021Article
- Linking Provider Specialty and Outpatient Diagnoses in Medicare Claims Data: Data Quality Implications.Applied clinical informatics · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe implementation of an electronic health record (EHR) with structured and standardized recording of patient data can improve data quality and reusability. Whether and how users perceive these advantages may depend on the preimplementation situation.
objectiveTo determine whether the influence of implementing a structured and standardized EHR on perceived EHR use, data quality, and data reuse differed for users working with paper-based records versus a legacy EHR before implementation.
methodsWe used an electronic questionnaire to measure users' perception before implementation (2014), expected change, and perceived change after implementation (2016) on three themes. We included all health care professionals in two university hospitals in the Netherlands. Before jointly implementing the same structured and standardized EHR, one hospital used paper-based records and the other a legacy EHR. We compared perceptions before and after implementation for both centers. Additionally, we compared expected benefit with perceived benefit.
resultsWe received 7,611 responses (4,537 before and 3,074 after implementation) of which 5,707 (75%) were from professionals reading and recording patient data. A total of 975 (13%) professionals responded to both before and after implementation questionnaires. In the formerly paper-based center staff perceived improvement in all themes after implementation. The legacy EHR center experienced deterioration of perceived EHR use and data reuse, and only one improvement in EHR use. In both centers, for half of the aspects at least 45% of responders experienced results worse than expected preimplementation.
conclusionOur results indicate that the preimplementation recording practice impacts the perceived effect of the implementation of a structured and standardized EHR. For almost half of the respondents the new EHR did not meet their expectations. Especially legacy EHR centers need to investigate the expectations as these might be different and less clear cut than those in paper-based centers. These expectations need to be addressed appropriately to achieve a successful 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.