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Which electronic health record system should we use? A systematic review

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Title: Which electronic health record system should we use? A systematic review
Authors: Al Ani, M
Garas, G
Hollingshead, J
Cheetham, D
Athanasiou, T
Patel, V
Item Type: Journal Article
Abstract: The UK government had intended to introduce a comprehensive EHRs system in England by 2020. These EHRs would run across primary, secondary, and social care linking data in a single digital platform. This systematic review's objectives were to identify studies that compare EHRs in terms of direct comparison between systems and evaluate them using System and Software Quality Requirements and Evaluation (SQuaRE) ISO/IEC 25010. A systematic review was performed by searching EMBASE and Ovid MEDLINE databases between 1974 and April 2021. All original studies that appraised EHR systems and their providers were included. The main outcome measures were EHR system comparison and SQuaRE's eight characteristics: functional suitability, performance efficiency, compatibility, usability, reliability, security, maintainability, and portability. A total of 724 studies were identified using the search criteria. After review of titles and abstracts, this was filtered down to 40 studies as per exclusion and inclusion criteria set out in our study selection. Seven studies compared more than one EHR. The following number of studies looked at the various aspects of the SQuaRE respectively. Nineteen studies addressed functional suitability, n=18 performance efficiency, n=12 compatibility, n=25 usability, n=6 reliability, n=2 security, n=16 maintainability, and n=13 portability. Epic was the most studied EHR system and one of the most implemented vendors in the USA market, and one of the top ten in UK. It is difficult to assess which is the most advantageous EHR system currently available when looking at them in accordance with SQuaRE's eight characteristics for software evaluation.
Issue Date: 18-May-2022
Date of Acceptance: 16-May-2022
URI: http://hdl.handle.net/10044/1/97518
DOI: 10.1159/000525135
ISSN: 1011-7571
Publisher: Karger
Start Page: 342
End Page: 351
Journal / Book Title: Medical Principles and Practice
Volume: 31
Copyright Statement: © 2022 The Author(s). Published by S. Karger AG, Basel. This is an Open Access article licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense), applicable to the online version of the article only. Usage and distribution for commercial purposes requires written permission.
Keywords: Electronic Health Record
Health informatics performance
Systematic review
Electronic Health Records
Humans
Reproducibility of Results
Software
Humans
Reproducibility of Results
Software
Electronic Health Records
Microbiology
1117 Public Health and Health Services
Publication Status: Published
Conference Place: Switzerland
Online Publication Date: 2022-05-18
Appears in Collections:Department of Surgery and Cancer
Faculty of Medicine



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