| Author | Main Results of each article and key findings. | |||
| Positive factors that mentioned by health professionals regarding electronic medical records. | Negative factors mentioned by health professionals regarding electronic medical records. | Factors that improve the quality of health services are mentioned by health professionals regarding electronic medical records. | ||
| Article #1 | The system improves timeliness, performance, and quality. Physicians believe the system can increase the excellence of services for patients. | It increases the workload, reduces the
communication among users, not comfortable for data entry as compared to paper-work |
The future study should focus on EMRS users other than the Makkah region, to evaluate the perception of physicians and users over the years, and assess the present standing of awareness relative to the past efforts to increase the positive perception | The overall perception of EMRS was found positive by 52.8%. but specific concerns about its usage easiness and workflow disturbance were
opposed by them also |
| Article #2 | Increased accessibility of the patient record, EHR improved patient care via better
communication among participants of the patient care team |
Sudden computer crashes that can cause loss of access to medical records, No training or technical support for staff in hospitals, time taken while data entry, disturbed communication between physician and patient, system hanging up problems | To further improve the system, periodic assessment should be made to analyze the degree of utilization of various system functionalities and make development accordingly, provide technical support 24/7 in the hospital, and try to customize the EHR system according to the user need | Underutilization of EMR system functionalities in almost every hospital. |
| Article #3 | Improve overall healthcare services in hospitals | Regulatory barriers, Human
Barriers, Professional barriers, technical barriers, financial barriers, organizational barriers |
Multiphase approach should be used to improve awareness of the benefits and importance of using EHRs. Provide proper capital investment and funding, monitor, and protect the system, and increase computer terminals at the point of care | Financial and human barriers are two main categories of challenges in the way of effective implementation of electronic health record system |
| Article #4 | The physicians have a positive response to the use of EHRS and improvement in English language skills and computer learning levels of staff, would improve the level of EMR literacy. Thus, staff will easily use the system and it will improve adoption and satisfaction. | The study described barriers to the adoption and satisfaction of physicians. These barriers were a lack experience and knowledge of using EHR systems; and staff struggle to use the system | Language proficiency and computer knowledge are connected to EMRS adoption and user perception of the system. Hospitals should assess the English language proficiency and computer skills prior to the implementation of the system | Both education level and English literacy were considerably associated with EHR literacy and computer literacy |
| Article #5 | The electronic record-keeping system has improved efficiency, and quality of care reduced error, and enhanced patient safety. Group setting training is preferred by nurses. | Nurses complained about the redundancy of work, time consumption and the system interfering with their manners and communication skills and negatively impacting their patient care and their attendance to the patient’s need | Management should include the users of the system in the entire life cycle from designing to implementation, value their feedback and suggestions | Nurses have a positive attitude towards the EMR system. Yet, a source of conflict with
management might be present |
| Article #6 | EMR systems improve the quality of care, reduce the risk of making a medical error, more security, and confidentiality than paperwork. | Time taking process | Physicians presented an inspiring belief and awareness about the possible benefits of applying an electronic health record system | |
| Article #7 | Improve the quality and care of patients, helps them in updating their capabilities and competencies | Difficult to use | Launch massive program of computer literacy, upgrade its system with a newer and more effective version of EMRS | The majority of the physicians reported the system as easy to use |
| Article #8 | Improve their work in terms of performance and quality, allow physicians to follow further progressive practices that would not be possible with paper-based records, Decrease medical error, Patient access to personal health records and health information through EHTs is now progressively possible, | To get all users to a suitable level of understanding of the particular EMR system software, the hospital should provide training.
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15.6% of physicians sees current EMRs as an effective tool while 29.4% of participant considered EHRs not worth the effect and time necessary to handle it. | |
| Article #9 | Allow physicians to perform their work well | It takes extra time to start the system, is Difficult to use, takes more time to enter data, is not accurate, the User interface is confusing | Continued evaluation of installed systems and feedback from
users should guide future selection and introduction of EMR systems |
Physicians were generally not satisfied with
the system |
| Article #10 | It provided physicians better access to the summary of patient details, and write referral letters for a consultation easily | The system’s inability to procure lab results electronically | The Ministry of Health and physicians should work together to improve the system. Further studies should be made at private healthcare centers and hospitals | The result indicated a very positive perception of the EMRS |
| Article #11 | The physicians and nurses agree to the high benefits of computer training and it boosts their satisfaction with the electronic system, No advanced computer skills are required to operate the EMR system | Adoption barriers were the reason for low satisfaction rates in the study, the physicians have high satisfaction rates than nurses | The study was limited to physicians and nurses of one region, future studies should overcome this limitation | EMR users with high computer literacy skills were more satisfied with using
the EMR than users with low computer literacy skills, |
| Article #12 | A way to improve
quality care, increase cost efficiency, Increasing new forms of interaction and communication among physicians, nurses, and paramedical employees, Reducing health care costs resulting from inefficiency, medical errors, and inappropriate care |
Three concerns were malfunctioned i.e. when the computer is not working, concern for privacy, cost of hardware, software, and maintenance with upgrade | The finding of this survey research identifies important implications for medical managers and people who work in the MOH (Department of Information Technology) for implementing and introducing other technical or administrative
innovations |
The study revealed that physicians are generally satisfied with EMR. received adequate training and physicians
believe the system can improve quality care for patients |
| Article #13 | Physicians expressed satisfaction with the orders and results of laboratory and radiology functions. They were also satisfied with the electronic prescription function, stating that it reduced errors and saved time. | The system seems complex initially, requiring computer skills, and concern about the patient’s perception of the system. Many patients were unhappy | Further studies need to be
conducted among other healthcare practitioners and patients to explore their attitudes and perception about the EMR |
physicians were satisfied
with the EMR system in spite of initial difficulties with implementation |
| Article #14 | System’s technical accuracy, Appearance, System quality, and Information quality are the factors that influences end-user satisfaction | Providing users with complete, relevant, high-quality, timely information, given their significant
impact on satisfaction, Increasing users’ trust by providing them with reliable output and information content to make EHR trustworthy, Increasing system quality by making EHR easy to use, reliable, efficient, and fast to access to information, and responsive to users’ requests |
The most effective
factors in the users’ satisfaction with EHR were directly service quality and technical support, with system and information quality indirectly through a trust |
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