Saturday, March 15, 2014

Systematic review of the effects of EMRs

This review in the Annals of Internal Medicine looked at decision support and CPOE.

From the review:

Conclusion: Strong evidence supports the use of clinical decision support and computerized provider order entry. However, insufficient reporting of implementation and context of use makes it impossible to determine why some health IT implementations are successful and others are not. The most important improvement that can be made in health IT evaluations is increased reporting of the effects of implementation and context.

However, the report addressed process metrics rather than meaningful outcomes.

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