Universität zu Köln

Wurster, Florian ORCID: 0000-0001-5527-9238, Futterer, Garret, Beckmann, Marina, Dittmer, Kerstin, Jaschke, Julia, Koeberlein-Neu, Juliane, Okumu, Mi-Ran, Rusniok, Carsten, Pfaff, Holger and Karbach, Ute ORCID: 0000-0003-3479-9474 (2022). The Analyzation of Change in Documentation due to the Introduction of Electronic Patient Records in Hospitals-A Systematic Review. J. Med. Syst., 46 (8). NEW YORK: SPRINGER. ISSN 1573-689X

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Abstract

The major impact on healthcare through the ongoing digital transformation and new technologies results in opportunities for improving quality of care. Electronic patient records (EPR) are a substantial part in this transformation, even though their influence on documentation remains often unclear. This review aims to answer the question of which effect the introduction of the EPR has on the documentation proper in hospitals. To do this, studies are reviewed that analyze the documentation itself, rather than merely conducting interviews or surveys about it. Several databases were searched in this systematic review (PubMed including PubMed, PubMed Central and Medline; PDQ Evidence; Web of Science Core Collection; CINHAL). To be included, studies needed to analyze written documentation and empirical data, be in either German or English language, published between 2010 and 2020, conducted in a hospital setting, focused on transition from paper-based to electronic patient records, and peer reviewed. Quantitative, qualitative and mixed methods studies were included. Studies were independently screened for inclusion by two researchers in three stages (title, abstract, full text) and, in case of disagreement, discussed with a third person from the research team until consensus was reached. The main outcome assessed was whether the studies indicated a negative or positive effect on documentation (e.g. changing the completeness of documentation) by introducing an EPR. Mixed Methods Appraisal Tool was used to assess the individual risk of bias in the included studies. Overall, 264 studies were found. Of these, 17 met the inclusion criteria and were included in this review. Of all included studies, 11 of 17 proved a positive effect of the introduction of the EPR on documentation such as an improved completeness or guideline adherence of the documentation. Six of 17 showed a mixed effect with positive and negative or no changes. No study showed an exclusively negative effect. Most studies found a positive effect of EPR introduction on documentation. However, it is difficult to draw specific conclusions about how the EPR affects or does not affect documentation since the included studies examined a variety of outcomes. As a result, various scenarios are conceivable with higher or reduced burden for practitioners. Additionally, the impact on treatment remains unclear.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Wurster, Florian UNSPECIFIED orcid.org/0000-0001-5527-9238 UNSPECIFIED Futterer, Garret UNSPECIFIED UNSPECIFIED UNSPECIFIED Beckmann, Marina UNSPECIFIED UNSPECIFIED UNSPECIFIED Dittmer, Kerstin UNSPECIFIED UNSPECIFIED UNSPECIFIED Jaschke, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Koeberlein-Neu, Juliane UNSPECIFIED UNSPECIFIED UNSPECIFIED Okumu, Mi-Ran UNSPECIFIED UNSPECIFIED UNSPECIFIED Rusniok, Carsten UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, Holger UNSPECIFIED UNSPECIFIED UNSPECIFIED Karbach, Ute UNSPECIFIED orcid.org/0000-0003-3479-9474 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-666218
DOI:	10.1007/s10916-022-01840-0
Journal or Publication Title:	J. Med. Syst.
Volume:	46
Number:	8
Date:	2022
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1573-689X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language QUALITY; CARE; COMPLETENESS; INFORMATION; IMPROVES Multiple languages Health Care Sciences & Services; Medical Informatics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/66621