ArticleBMC nursing2024
The effect of electronic medical records on medication errors, workload, and medical information availability among qualified nurses in Israel- a cross sectional study.
Article in BMC nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 18 citations in OpenAlex.
- Nursing Perceptions of the Intended Use of Artificial Intelligence to Prevent Medication Errors: A Qualitative Descriptive Study.Journal of clinical nursing · 2026Article
- The Impact of Electronic Health Records on Nurses and Nursing Care in Low- and Middle-Income Countries: A Scoping Review.Nursing open · 2026Article
- Determinants, patterns, and gaps in patient safety and quality of care research in Israel: a scoping review.Israel journal of health policy research · 2026Article
- Impact of electronic health records on nursing workflow efficiency and predictive factors in Palestinian hospitals.PLOS digital health · 2026Article
- Computerized Physician Order Entry and Pediatric Prescribing Errors: A Multicenter Database Study.Drug, healthcare and patient safety · 2026Article
- Medication Errors Reporting and Analysis:Saudi medical journal · 2026Article
- Trends and Types of Medical Errors Reporting Following the Implementation of Electronic Health Record System.Drug, healthcare and patient safety · 2026Article
- Perception of health professionals towards electronic prescription in a teaching hospital.Scientific reports · 2025Article
- Electronic Nursing Records: Importance for Nursing and Benefits of Implementation in Health Information Systems-A Scoping Review.Nursing reports (Pavia, Italy) · 2024Article
- A Case-Study of Metoclopramide Prescription Error : A Grim Reminder.Journal of medical systems · 2024Article
- Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundErrors in medication administration by qualified nursing staff in hospitals are a significant risk factor for patient safety. In recent decades, electronic medical records (EMR) systems have been implemented in hospitals, and it has been claimed that they contribute to reducing such errors. However, systematic research on the subject in Israel is scarce. This study examines the position of the qualified nursing staff regarding the impact of electronic medical records systems on factors related to patient safety, including errors in medication administration, workload, and availability of medical information.
methodsThis cross-sectional study examines three main variables: Medication errors, workload, and medical information availability, comparing two periods- before and after EMR implementation based on self-reports. A final sample of 591 Israeli nurses was recruited using online private social media groups to complete an online structured questionnaire. The questionnaires included items assessing workload (using the Expanding Nursing Stress Scale), medical information availability (the Carrington-Gephart Unintended Consequences of Electronic Health Record Questionnaire), and medical errors (the Medical Error Checklists). Items were assessed twice, once for the period before the introduction of electronic records and once after. In addition, participants answered open-ended questions that were qualitatively analyzed.
resultsNurses perceive the EMR as reducing the extent of errors in drug administration (mean difference = -0.92 ± 0.90SD, p < 0.001), as well as the workload (mean difference = -0.83 ± 1.03SD, p < 0.001) by ∼ 30% on average, each. Concurrently, the systems are perceived to require a longer documentation time at the expense of patients' treatment time, and they may impair the availability of medical information by about 10% on average.
conclusionThe results point to nurses' perceived importance of EMR systems in reducing medication errors and relieving the workload. Despite the overall positive attitudes toward EMR systems, nurses also report that they reduce information availability compared to the previous pen-and-paper approach. A need arises to improve the systems in terms of planning and adaptation to the field and provide appropriate technical and educational support to nurses using them.
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