Electronic Health Records Implementation Readiness: An Integrative Review

Abstract

Purpose: The purpose of this review was to discuss the status of evidence related to the assessment of readiness of healthcare facilities for e-health initiatives implementation, specifically the common Electronic Health Record (EHR) systems. Methods: An integrative review approach was utilized. The databases of Google Scholar, Scopus, Science Direct, PubMed, Medline, CINAHL, Ovid, ProQuest, and EBSCO host were searched for related evidence published between 2000 and 2018. Results: Seventeen studies were included in the current review. In terms of methodological approach, the included studies were 7 correlational studies, 5 review papers, 4 qualitative papers, and one mixed methods study. At the current integrative review, the themes of complex healthcare change, and the main theme of e-health readiness assessment were identified. Conclusion: Assessing and reporting the levels of readiness for EHRs implementation are highly recommended as it has a high impact on the critically-needed adoption and usage of the implemented system. Selecting the right tool for the right audience to address readiness is essential in the assessment process which is recommended to be conducted early at the road map of the project implementation. Future research is recommended to address readiness for e-health initiatives at the different settings and different target populations including communities where the healthcare facilities functions and service receivers' readiness.

Staff expectations for the implementation of an electronic health record system: a qualitative study using normalisation process theory

“…The Medical Research Council’s framework for developing and evaluating complex interventions states that taking account of context is crucial to implementation [39]. Most effort in preparing for EHR implementation are directed towards organisational readiness, including staff readiness [40]. A recent review reported that for 95% of included studies, users were the primary barrier to implementation [41], and an additional review highlighted the importance of human factors in the success of, and barriers to implementation [42].…”

Analisis Tantangan Kesiapan Implementasi Rekam Medis Elektronik di Puskesmas Kota Padang

“…Ketidaksiapan penerapan RME di fasilitas kesehatan dapat menimbulkan banyak hambatan selama proses penerapan. Hal ini juga dapat menyebabkan rendahnya adopsi tenaga kesehatan dalam menggunakan sistem RME (Alsadi and Saleh, 2019). Oleh karena itu, penerapan RME harus disetujui oleh seluruh pengguna RME karena peran mereka yang sangat penting dalam sistem kesehatan (Masyfufah et al, 2022).…”

Electronic Health Records Design in the Nutrition Care Center of Teaching Factory at Politeknik Negeri Jember, Indonesia

“…Implementing a health information system such as an EHR can potentially improve the performance of healthcare facilities, save operational costs, and improve patient satisfaction [7]. Implementing the EHRs provides promising evidence-based healthcare, higher levels of service completeness, accuracy, validity, access, and coordinated communication of patient information, safe prescription, utility of electronic health records for clinical diagnosis, adequate clinical decision support, and improved efficiency of medical practices [8]. The research team successfully developed and implemented electronic medical records in previous studies called Eposyandu [9] and Electronic Health Records (EHRs) in a family's health home clinic of Jember district [10].…”