ArticleMedicine2020
Association between Electronic Medical Records and Healthcare Quality.
Article in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- Effect of electronic records on mortality among patients in hospital and primary healthcare settings: a systematic review and meta-analyses.Frontiers in digital health · 2024Pooled it
- The effectiveness of EMR implementation regarding reducing documentation errors and waiting time for patients in outpatient clinics: a systematic review.F1000Research · 2021Pooled it
- Challenges of Electronic Medical Record Implementation From the Perspective of Hospital Leaders in Riyadh, Kingdom of Saudi Arabia's Public Hospitals:Saudi medical journal · 2026Article
- An Intelligent Trial Eligibility Screening Tool Using Natural Language Processing With a Block-Based Visual Programming Interface: Development and Usability Study.JMIR medical informatics · 2025Article
- Electronic Health Record Burnout in Surgery and Strategies to Improve Burnout: A Narrative Review.Cureus · 2025Review
- 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
- Describing Congruence Between ICD-10 Coding and Medical Record Text in Veterans Health Administration Chiropractic Notes.Journal of chiropractic medicine · 2025Article
- From Paper to Digital: Evaluating Electronic Medical Records and their Compliance with EMA Guidelines in European Clinical Trials.Reviews on recent clinical trials · 2025Article
- Improving quality of care by standardising patient data collection in electronic medical records in an oncology department in Spain.BMJ open quality · 2024Article
- Biomedical Big Data Technologies, Applications, and Challenges for Precision Medicine: A Review.Global challenges (Hoboken, NJ) · 2024Review
- Adoption of Electronic Health Record Among Substance Use Disorder Treatment Programs: Nationwide Cross-Sectional Survey Study.Journal of medical Internet research · 2023Article
- Development and evaluation of an anesthesia module for electronic medical records in the operating room: an applied developmental study.BMC anesthesiology · 2023Article
- Hospital doctors' and general practitioners' perspectives of outpatient discharge processes in Australia: an interpretive approach.BMC health services research · 2023Article
- Differences in Health Professionals' Engagement With Electronic Health Records Based on Inpatient Race and Ethnicity.JAMA network open · 2023Article
- Successes and challenges towards improving quality of primary health care services: a scoping review.BMC health services research · 2023Article
- Copy-Pasting in Patients' Electronic Medical Records (EMRs): Use Judiciously and With Caution.Cureus · 2023Review
- Effectiveness of Medication Reconciliation in a Chinese Hospital: A Pilot Randomized Controlled Trial.Journal of multidisciplinary healthcare · 2023Article
- Use of Electronic Medical Records (EMR) in Gerontology: Benefits, Considerations and a Promising Future.Clinical interventions in aging · 2023Review
- Restricted use of copy and paste in electronic health records potentially improves healthcare quality.Medicine · 2022Article
- Participatory Design of a Medication Module in an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Approach with Nurses and Physicians.Children (Basel, Switzerland) · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The implementation of electronic medical records (EMRs) has generally been thought to improve medical efficiency and safety, but consistent evidence of improved healthcare quality due to EMRs in population-based studies is lacking. We assessed the relationship between the degree of EMR adoption and patient outcomes.We performed an observational study using discharge data from Tri-service General Hospital from 2013 to 2018. The levels of EMR utilization were divided into no EMRs, partial EMRs and full EMRs. The primary healthcare quality indicators were inpatient mortality, readmission within 14 days, and 48-hour postoperative mortality. We performed a Cox proportional hazards regression analysis to evaluate the relationship between the EMR utilization level and healthcare quality.In total, 262,569 patients were included in this study. Compared with no EMRs, full EMR implementation led to lower inpatient mortality [adjusted hazard ratio (HR) 0.947, 95% confidence interval (CI): 0.897-0.999, P = ..049] and a lower risk of readmission within 14 days (adjusted HR 0.627, 95% CI: 0.577-0.681, P < .001). Full EMR implementation was associated was a lower risk of 48-hour postoperative mortality (adjusted HR 0.372, 95% CI: 0.208-0.665, P = .001) than no EMRs. Partial EMR implementation was associated with a higher risk of readmission within 14 days than no EMRs (HR 1.387, 95% CI: 1.298-1.485, P < .001).Full EMR adoption improves healthcare quality in medical institutions treating severely ill patients. A prospective study is needed to confirm this finding.
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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.