Difference between revisions of "A review of the empirical evidence of the value of structuring and coding of clinical information within electronic health records for direct patient care"
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| − | Although structured and/or coded [[EHR|electronic health records]] (EHRs) continues to be promoted as a beneficial element in direct patient care, the evidence for this assumption is not well | + | Although structured and/or coded [[EHR|electronic health records]] (EHRs) continues to be promoted as a beneficial element in direct patient care, the evidence for this assumption is not well shown in the literature. |
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Revision as of 19:35, 13 November 2015
Contents
First Review
This is a review of the article by Kalra, et al. (2012), "A review of the empirical evidence of the value of structuring and coding of clinical information within electronic health records for direct patient care" [1].
Abstract
Although structured and/or coded electronic health records (EHRs) continues to be promoted as a beneficial element in direct patient care, the evidence for this assumption is not well shown in the literature.
Methods
The authors' conducted a literature review of nine international databases from 1990 to 2011. The authors sought to determine the value of EHR implementation on direct patient care. Value was defined using the Institute of Medicine's six areas for improvement for healthcare systems: effectiveness, safety, patient-centeredness, timeliness, efficiency and equitability. Studies included in the analysis satisfied the Cochrane Effective Practice and Organization of Care (EPOC) group criteria.
Results
The literature search retrieved 5016 papers. After reviewing the studies for elidjability, only 13 studies satisfied the authors' criteria. Ten articles focused on effectiveness. Eight paper demonstrated the potential for improved proxy and actual clinical outcomes if a structured and/or coded EHR was combined with alerting or advisory systems in a focused clinical domain. Three studies demonstrated improvements in safety outcomes. None of the studies reported value in relation to patient-centeredness, timeliness, efficiency, or equitability.
Conclusion
The authors concluded that efforts to investigate the empirical the value of structuring and coding EHRs for direct patient care is insufficient. Therefore, future research should investigate the structuring and coding of EHRs providing robust evidence for the clinical scenarios in which this technology can benefit direct patient care.
Comments
One limitation of the study is that the literature review was conducted in 2012 and the body of work has grown rapidly in the past three years. In-order to increase the validity and reliability of future studies, research should take place across multiple hospitals setting in multiple locations. The analysis should determine if a correlation exists between structured and coded clinical information and improvements in direct patient care.
Second Review
Add next review here.
References
- ↑ Kalra, Dipak, Fernando, Bernard, Morrison, Zoe, Sheikh, Aziz (2012). Informatics in Primary Care, Volume 20, Number 3, May 2012, pp. 171-180(10)
