Imperial College London
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Dr Ana Luisa Neves

Faculty of Medicine, School of Public Health

Clinical Senior Lecturer in Digital Health
 
 
 
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Contact

 

ana.luisa.neves14

 
 
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Location

 

Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Li:2022:10.2196/38144,
author = {Li, E and Clarke, J and Ashrafian, H and Darzi, A and Neves, AL},
doi = {10.2196/38144},
journal = {Journal of Medical Internet Research},
pages = {1--15},
title = {Impact of electronic health record interoperability on safety and quality of care in high-income countries: A systematic review},
url = {http://dx.doi.org/10.2196/38144},
volume = {24},
year = {2022}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background: Electronic health records (EHR) and poor systems interoperability are well-known issues in the use of health information technologies worldwide in most high-income countries. Despite the abundance of literature exploring their relationship, its practical implications on patient safety and quality of care remain unclear.Objective: To examine how EHR interoperability affects patient safety, or other dimensions of care quality, in high-income healthcare settings. Methods: A systematic search was conducted using four online medical journal repositories and grey literature sources. Publications included were published in English between 2010-2022, pertaining to EHR use, interoperability, and patient safety or care quality in high-income settings. Screening was completed by three researchers in accordance with the Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines. Risk of bias assessments was performed using the Risk Of Bias In Non-randomised Studies - of Interventions (ROBINS-I) and the Cochrane Risk of Bias 2 (RoB2) tools. Findings were presented as a narrative synthesis and mapped based on the Institute of Medicine’s framework for healthcare quality.Results: Twelve studies met the inclusion criteria to be included in our review. Findings were categorised into six common outcome measure categories: patient safety events, medication safety, data accuracy and errors, care effectiveness, productivity, and cost-savings. EHR interoperability was found to positively influence medication safety, reduce patient safety events, and lower costs. Improvements to time-savings and clinical workflow are mixed. However, true measures of effect are difficult to determine with certainty due to the heterogeneity in outcome measures used and notable variation in study quality.Conclusion: The benefits of EHR interoperability on the quality and safety of care remain unclear and reflect the extensive heterogeneity in the interventions, designs, and outcome
AU  - Li,E
AU  - Clarke,J
AU  - Ashrafian,H
AU  - Darzi,A
AU  - Neves,AL
DO  - 10.2196/38144
EP  - 15
PY  - 2022///
SN  - 1438-8871
SP  - 1
TI  - Impact of electronic health record interoperability on safety and quality of care in high-income countries: A systematic review
T2  - Journal of Medical Internet Research
UR  - http://dx.doi.org/10.2196/38144
UR  - https://www.jmir.org/2022/9/e38144
UR  - http://hdl.handle.net/10044/1/99546
VL  - 24
ER  -
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