ArticleJournal of medical Internet research2019
Unintended Consequences of Nationwide Electronic Health Record Adoption: Challenges and Opportunities in the Post-Meaningful Use Era.
Article in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05106647 (Reducing Work-related Screen Time in Health Care Workers During Leisure Time), which is not on this map. Cited by 85 papers, 2 of them syntheses that pooled it.
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.
Reducing Work-related Screen Time in Health Care Workers During Leisure Time
Who cites it
85 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Planning for the Unexpected and Unintended Effects of mHealth Interventions: Systematic Review.Journal of medical Internet research · 2025Pooled it
- Adoption of electronic health record systems to enhance the quality of healthcare in low-income countries: a systematic review.BMJ health & care informatics · 2023Pooled it
- Examining Electronic Medical Record Migration in a Team-Based Primary Care Clinic: Case Study.JMIR formative research · 2026Article
- Electronic Health Record Burden Among Gastroenterology Providers in a Large Tri-state Tertiary Referral Center.Digestive diseases and sciences · 2026Article
- When Chatbots Become Agents: The Next Phase of Healthcare AI.Journal of medical systems · 2026Article
- What constitutes risk in implementation research? Perspectives from a qualitative key-informant study.Implementation science communications · 2026Article
- Visit-level quality measurement reveals missed opportunities and overuse in preventive oral health care.Journal of the American Dental Association (1939) · 2026Article
- Identifying false-positive drug allergy alerts based on drug tolerance assertions: a retrospective study.JAMIA open · 2026Article
- Ethical considerations in implementation research: a scoping review of key principles, unintended consequences, and emerging ethical guidance.Implementation science communications · 2025Review
- Mixed methods evaluation of a clinical decision support system to reduce variation in healthcare.NPJ digital medicine · 2025Article
- AI in Pediatric Spine Care: Clinical, Research, and Ethical Considerations.Journal of clinical medicine · 2025Article
- Incompleteness of Electronic Health Records: An Impending Process Problem Within Healthcare.Healthcare (Basel, Switzerland) · 2025Article
- Bridging Global Frameworks and Local Practice: Quantitative Evaluation of Electronic Health Record Safety in Kuwait's Public Hospitals.JMIR medical informatics · 2025Article
- Choosing between Patient Care Needs and Accurate Data Capture: Exploring Nurses' Experiences of Excessive Documentation Burden.Applied clinical informatics · 2025Article
- Policy context and digital development: a comparative study of trajectories in 4 Canadian academic health centers over 30 years.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Challenges to Reduce Alert Burden Using Current Decision Support Infrastructure in Two Commercial EHR Systems: Lessons Learned and Path Forward.Applied clinical informatics · 2025Article
- Stigmatizing and Positive Language in Birth Clinical Notes Associated With Race and Ethnicity.JAMA network open · 2025Article
- Charting Diagnostic Safety: Exploring Patient-Provider Discordance in Medical Record Documentation.Journal of general internal medicine · 2025Article
- Continuous multimodal data supply chain and expandable clinical decision support for oncology.NPJ digital medicine · 2025Article
- Breaking ICD Codes: Identifying Ambiguous Respiratory Infection Codes via Regional Diagnosis Heterogeneity.Annals of family medicine · 2025Article
25 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The US health system has recently achieved widespread adoption of electronic health record (EHR) systems, primarily driven by financial incentives provided by the Meaningful Use (MU) program. Although successful in promoting EHR adoption and use, the program, and other contributing factors, also produced important unintended consequences (UCs) with far-reaching implications for the US health system. Based on our own experiences from large health information technology (HIT) adoption projects and a collection of key studies in HIT evaluation, we discuss the most prominent UCs of MU: failed expectations, EHR market saturation, innovation vacuum, physician burnout, and data obfuscation. We identify challenges resulting from these UCs and provide recommendations for future research to empower the broader medical and informatics communities to realize the full potential of a now digitized health system. We believe that fixing these unanticipated effects will demand efforts from diverse players such as health care providers, administrators, HIT vendors, policy makers, informatics researchers, funding agencies, and outside developers; promotion of new business models; collaboration between academic medical centers and informatics research departments; and improved methods for evaluations of HIT.
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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.