SynthesisInternational journal of medical informatics2021
Technological progress in electronic health record system optimization: Systematic review of systematic literature reviews.
Synthesis in International journal of medical informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 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
47 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Electronic health record adaptation and innovation among healthcare professionals in hospitals: an integrative framework based on a systematic review.BMC health services research · 2026Pooled it
- Acceptance of Digital Technology Among Nursing Staff in Geriatric Long-Term Care: Systematic Review.JMIR nursing · 2026Pooled it
- Opportunities, challenges, and requirements for Artificial Intelligence (AI) implementation in Primary Health Care (PHC): a systematic review.BMC primary care · 2025Pooled it
- Multilingual Evidence-Based Question-Answering for Stroke Discharge Summaries: Study of Cross-Lingual Heterogeneity in Clinical Reports.Journal of medical Internet research · 2026Article
- Electronic health records in patient care: strengths, facilitators, challenges, and future directions-a scoping review.BMC health services research · 2026Article
- Exploring Technological Solutions for Interoperability Between Patient Electronic Medical Records and Clinical Registries: Scoping Review.Journal of medical Internet research · 2026Article
- Digital epidemiology: Utilizing big data for public health surveillance and disease outbreak prediction.Journal of public health research · 2026Review
- External prescription circulation and chronic medication refills via internet hospital: a real-world study of patient characteristics in eastern China.Frontiers in public health · 2026Article
- Integrating medical imaging datasets with blockchain wallets: A case study on ARDS-COVID19 patients.PloS one · 2026Article
- Article
- Meeting the challenges of electronic health record (EHR) optimization.NPJ digital medicine · 2025Review
- Large Language Models for Drug-Related Adverse Events in Oncology Pharmacy: Detection, Grading, and Actioning.Pharmacy (Basel, Switzerland) · 2025Review
- Article
- Evaluating the Impact of Electronic Health Record to Electronic Data Capture Technology on Workflow Efficiency: a Site Perspective.JAMIA open · 2025Article
- Article
- Time-to-Event Pretraining for 3D Medical Imaging.... International Conference on Learning Representations · 2025Article
- Implementing Accuracy, Completeness, and Traceability for Data Reliability.JAMA network open · 2025Article
- Enhancing patient representation learning with inferred family pedigrees improves disease risk prediction.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Electronic health records and data exchange in the WHO European region: A subregional analysis of achievements, challenges, and prospects.International journal of medical informatics · 2025Article
- INSIGHTS Asthma Pragmatic Registry - A Pragmatic Approach to High-Validity Real-World Evidence for Asthma.Pragmatic and observational 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
4 authors.
Funding
Abstract
backgroundThe recent, rapid development of digital technologies offers new possibilities for more efficient implementation of electronic health record (EHR) and personal health record (PHR) systems. A growing volume of healthcare data has been the hallmark of this digital transformation. The large healthcare datasets' complexity and their dynamic nature pose various challenges related to processing, analysis, storage, security, privacy, data exchange, and usability. MATERIALS AND
methodsWe performed a systematic review of systematic reviews to assess technological progress in EHR and PHR systems. We searched MEDLINE, Cochrane, Web of Science, and Scopus for systematic literature reviews on technological advancements that support EHR and PHR systems published between January 1, 2010, and October 06, 2020.
resultsThe searches resulted in a total of 2,448 hits. Of these, we finally selected 23 systematic reviews. Most of the included papers dealt with information extraction tools and natural language processing technology (n = 10), followed by studies that assessed the use of blockchain technology in healthcare (n = 8). Other areas of digital technology research included EHR and PHR systems in austere settings (n = 1), de-identification methods (n = 1), visualization techniques (n = 1), communication tools within EHR and PHR systems (n = 1), and methodologies for defining Clinical Information Models that promoted EHRs and PHRs interoperability (n = 1).
conclusionsTechnological advancements can improve the efficiency in the implementation of EHR and PHR systems in numerous ways. Natural language processing techniques, either rule-based, machine-learning, or deep learning-based, can extract information from clinical narratives and other unstructured data locked in EHRs and PHRs, allowing secondary research (i.e., phenotyping). Moreover, EHRs and PHRs are expected to be the primary beneficiaries of the blockchain technology implementation on Health Information Systems. Governance regulations, lack of trust, poor scalability, security, privacy, low performance, and high cost remain the most critical challenges for implementing these technologies.
Indexed as
Identifiers
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.