ArticleBMC health services research2021
Electronic medical record implementation in tertiary care: factors influencing adoption of an electronic medical record in a cancer centre.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 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.
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Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- Using natural language processing to extract information from clinical text in electronic medical records for populating clinical registries: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2026Pooled it
- Survivorship care for people affected by advanced or metastatic cancer: MASCC-ASCO standards and practice recommendations.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Pooled it
- Using an Integrated Framework to Investigate the Facilitators and Barriers of Health Information Technology Implementation in Noncommunicable Disease Management: Systematic Review.Journal of medical Internet research · 2022Pooled 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
- Organizational Readiness for Change in the Era of Smart Hospital Wards: Qualitative Study of Health Care Workers' Insights.JMIR human factors · 2025Article
- Perceived benefits and barriers of medical doctors regarding electronic medical record systems in an Indian private-sector healthcare facility.BMC health services research · 2025Article
- Exploring user experiences of clinicians engaged with the digital healthcare interventions across the referral and university teaching hospitals in Nigeria: a qualitative study.Frontiers in digital health · 2025Article
- Barriers to the implementation of electronic medical records in Northwest Ethiopia.Health SA = SA Gesondheid · 2025Article
- Facilitator and Barrier to Health Information System Use from Health Professionals Perspective: A Scoping Review.Journal of multidisciplinary healthcare · 2025Review
- The Impact of Leadership and Management on the Implementation of Electronic Health Record Systems in the Primary Healthcare Centers.Healthcare (Basel, Switzerland) · 2024Article
- Electronic health record implementation: how to identify and analyze the possible negative impacts.Einstein (Sao Paulo, Brazil) · 2024Article
- Electronic Health Records That Support Health Professional Reflective Practice: a Missed Opportunity in Digital Health.Journal of healthcare informatics research · 2022Article
- Anxiety/Depression Predominance in Liaison-Psychiatry Users of a South-East Mexico Tertiary Hospital.Healthcare (Basel, Switzerland) · 2022Article
- Factors Affecting the Extent of Patients' Electronic Medical Record Use: An Empirical Study Focusing on System and Patient Characteristics.Journal of medical Internet research · 2021Article
- Professionals' responses to the introduction of AI innovations in radiology and their implications for future adoption: a qualitative study.BMC health services research · 2021Article
- Evaluating the utility and challenges associated with "unknown" and fictional patients in the electronic medical record.Academic pathologyArticle
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Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundElectronic Medical Records (EMRs) are one of a range of digital health solutions that are key enablers of the data revolution transforming the health sector. They offer a wide range of benefits to health professionals, patients, researchers and other key stakeholders. However, effective implementation has proved challenging.
methodsA qualitative methodology was used in the study. Interviews were conducted with 12 clinical and administrative staff of a cancer centre at one-month pre-launch and eight clinical and administrative staff at 12-months post-launch of an EMR. Data from the interviews was collected via audio recording. Audio recordings were transcribed, de-identified and analysed to identify staff experiences with the EMR.
resultsData from the pre-implementation interviews were grouped into four categories: 1) Awareness and understanding of EMR; 2) Engagement in launch process; 3) Standardisation and completeness of data; 4) Effect on workload. Data from the post-launch interviews were grouped into six categories: 1) Standardisation and completeness of data; 2) Effect on workload; 3) Feature completeness and functionality; 4) Interaction with technical support; 5) Learning curve; 6) Buy-in from staff. Two categories: Standardisation and completeness of data and effect on workload were common across pre and post-implementation interviews.
conclusionFindings from this study contribute new knowledge on barriers and enablers to the implementation of EMRs in complex clinical settings. Barriers to successful implementation include lack of technical support once the EMR has launched, health professional perception the EMR increases workload, and the learning curve for staff adequately familiarize themselves with using the EMR.
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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.