Electronic Medical Records Review for Quality of Care

A literature search was conducted using PubMed with keywords “EMR” OR “electronic medical records” OR “EHR” OR “electronic health records” AND “quality of care” and identified 50,891 potential articles. Only 4435 met the inclusion criteria. On review, 11 articles focusing on EMR/EHR and quality of care were included for the review.

 

In a meta-analysis by Campanella et al.,[24] EMR was associated with higher guideline adherence and fewer medication errors. In another study, a systematic review by Nguyen et al.[20] reported that clinicians perceived improved information quality.

 

Entry of data was found to be more complete in EMR. EMR systems also improved the legibility of physicians’ writing and improved accessibility to patients’ charts. This was a problem with paper charts. However, one needs to keep in mind downtimes or potential technical failures, viruses, and ransomware attacks. These can affect access and, more importantly, confidentiality and raise liability. Medication errors and dangerous drug interactions are avoided when there are decision support capabilities along with the EMR. It is hard, however, to draw a firm conclusion from existing data as robust studies are lacking.[2627]

 

A randomized controlled study by Jamieson et al.[16] demonstrated better quality of documentation when compared to handwritten notes. Through many different avenues, including medication interactions check, and adherence to guidelines, EMR brings about improved care quality.

 

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