Evidence for handheld electronic medical records in improving care: a systematic review
<p>Abstract</p> <p>Background</p> <p>Handheld electronic medical records are expected to improve physician performance and patient care. To confirm this, we performed a systematic review of the evidence assessing the effects of handheld electronic medical records on cli...
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| Format: | Article |
| Language: | English |
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BMC
2006-06-01
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| Series: | BMC Medical Informatics and Decision Making |
| Online Access: | http://www.biomedcentral.com/1472-6947/6/26 |
| _version_ | 1811251923252150272 |
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| author | Straus Sharon E Wu Robert C |
| author_facet | Straus Sharon E Wu Robert C |
| author_sort | Straus Sharon E |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Handheld electronic medical records are expected to improve physician performance and patient care. To confirm this, we performed a systematic review of the evidence assessing the effects of handheld electronic medical records on clinical care.</p> <p>Methods</p> <p>To conduct the systematic review, we searched MEDLINE, EMBASE, CINAHL, and the Cochrane library from 1966 through September 2005. We included randomized controlled trials that evaluated effects on practitioner performance or patient outcomes of handheld electronic medical records compared to either paper medical records or desktop electronic medical records. Two reviewers independently reviewed citations, assessed full text articles and abstracted data from the studies.</p> <p>Results</p> <p>Two studies met our inclusion criteria. No other randomized controlled studies or non-randomized controlled trials were found that met our inclusion criteria. Both studies were methodologically strong. The studies examined changes in documentation in orthopedic patients with handheld electronic medical records compared to paper charts, and both found an increase in documentation. Other effects noted with handheld electronic medical records were an increase in time to document and an increase in wrong or redundant diagnoses.</p> <p>Conclusion</p> <p>Handheld electronic medical records may improve documentation, but as yet, the number of studies is small and the data is restricted to one group of patients and a small group of practitioners. Further study is required to determine the benefits with handheld electronic medical records especially in assessing clinical outcomes.</p> |
| first_indexed | 2024-04-12T16:27:13Z |
| format | Article |
| id | doaj.art-33808b200ed14e8b97dfa7e34c6d152d |
| institution | Directory Open Access Journal |
| issn | 1472-6947 |
| language | English |
| last_indexed | 2024-04-12T16:27:13Z |
| publishDate | 2006-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Informatics and Decision Making |
| spelling | doaj.art-33808b200ed14e8b97dfa7e34c6d152d2022-12-22T03:25:19ZengBMCBMC Medical Informatics and Decision Making1472-69472006-06-01612610.1186/1472-6947-6-26Evidence for handheld electronic medical records in improving care: a systematic reviewStraus Sharon EWu Robert C<p>Abstract</p> <p>Background</p> <p>Handheld electronic medical records are expected to improve physician performance and patient care. To confirm this, we performed a systematic review of the evidence assessing the effects of handheld electronic medical records on clinical care.</p> <p>Methods</p> <p>To conduct the systematic review, we searched MEDLINE, EMBASE, CINAHL, and the Cochrane library from 1966 through September 2005. We included randomized controlled trials that evaluated effects on practitioner performance or patient outcomes of handheld electronic medical records compared to either paper medical records or desktop electronic medical records. Two reviewers independently reviewed citations, assessed full text articles and abstracted data from the studies.</p> <p>Results</p> <p>Two studies met our inclusion criteria. No other randomized controlled studies or non-randomized controlled trials were found that met our inclusion criteria. Both studies were methodologically strong. The studies examined changes in documentation in orthopedic patients with handheld electronic medical records compared to paper charts, and both found an increase in documentation. Other effects noted with handheld electronic medical records were an increase in time to document and an increase in wrong or redundant diagnoses.</p> <p>Conclusion</p> <p>Handheld electronic medical records may improve documentation, but as yet, the number of studies is small and the data is restricted to one group of patients and a small group of practitioners. Further study is required to determine the benefits with handheld electronic medical records especially in assessing clinical outcomes.</p>http://www.biomedcentral.com/1472-6947/6/26 |
| spellingShingle | Straus Sharon E Wu Robert C Evidence for handheld electronic medical records in improving care: a systematic review BMC Medical Informatics and Decision Making |
| title | Evidence for handheld electronic medical records in improving care: a systematic review |
| title_full | Evidence for handheld electronic medical records in improving care: a systematic review |
| title_fullStr | Evidence for handheld electronic medical records in improving care: a systematic review |
| title_full_unstemmed | Evidence for handheld electronic medical records in improving care: a systematic review |
| title_short | Evidence for handheld electronic medical records in improving care: a systematic review |
| title_sort | evidence for handheld electronic medical records in improving care a systematic review |
| url | http://www.biomedcentral.com/1472-6947/6/26 |
| work_keys_str_mv | AT straussharone evidenceforhandheldelectronicmedicalrecordsinimprovingcareasystematicreview AT wurobertc evidenceforhandheldelectronicmedicalrecordsinimprovingcareasystematicreview |