Annotated Bibliography: Digital Health Records Implementation

This annotated bibliography explores the topic of digital health record (EHR) implementation, focusing on whether it should be implemented for all patients. It analyzes three articles that discuss various aspects of EHRs. The first article highlights the importance of EHRs in preventing adverse drug events and improving patient safety through drug-drug interaction alerts. The second article emphasizes the benefits of a nationwide EHR system, including improved health information quality, reduced medical errors, and cost savings, while also acknowledging the complexities of implementation and the need for a shared vision. The third article discusses the challenges faced during EHR-laboratory information system integration, emphasizing the need for long-term planning and addressing technical, workflow, and resource aspects. The bibliography underscores the potential of EHRs to enhance healthcare efficiency, quality, and patient safety, while also acknowledging the need to address the challenges associated with their implementation.

Annotated Bibliography

Topic: Should digital health record be implemented for all patients
Article 1: McEvoy, D. S. & et. al. (2016). Variation in high-priority drug-drug interaction
alerts across institutions and electronic health records. Journal of the American Medical
Informatics Association. 24(2). 331-338.
Abstract: Through systematic review, it has been analysed by researchers that to
enhance the experience of appropriate medical services and increase life expectancy, it
becomes essential to implement digital or electronic health record in health care
sectors. As per survey, the have evaluated that more than 1.5 million drug events occur
in US annually, because medical professionals prescribe drugs without knowing their
adverse effect or safer alternatives. It results in creation of threat towards patient safety
and lead their life in endangered. To overcome such an issue, now medical institutions
implement DDI alerts into computer system CPOE i.e. computerised provider order
entry system. This would help in preventing adverse drug events a well as improving the
patient safety also. Thus, it has been proven under this survey that implementing EHR
(Electronic Health Record) in health care organisations, will help in creating and
managing the health information more appropriately.
Article 2: Fragidis, L. L., & Chatzoglou, P. D. (2018). Implementation of a nationwide
electronic health record (EHR) the international experience in 13 countries. International
journal of health care quality assurance. 31(2). 116-130.
Abstract: As per this article, it has been summarised that the integration of a number of
electronic health records systems via building an interoperable nationwide HER system,
will provide the undisputable benefits to medical institutions. It includes creating and
managing health information quality, prevention from medical errors, reducing adverse
1

drug events, cost saving and more. Along with this, implementing digital health system
on a national scale also considered as an extremely complex activity, because it may
have a large impact on clinical, managerial as well as administrative staff. As during this
process, they have to learn new system and how to work with new the same to provide
efficient and fast care services to patients with more safety. But once professionals and
staff learn to work out with such consequences then it will enhance their performance
and reduce medical errors during treatment. In this regard, it becomes essential for
authorities of health care organisations to implement digital health record system with
coherent shared vision for improving the provision related to joined up patient centred
care.
Article 3: Petrides, A. K. & et. al. (2017). Top ten challenges when interfacing a
laboratory information system to an electronic health record: Experience at a large
academic medical center. International journal of medical informatics.106. 9-16.
Abstract: It has been evaluated from this article that with long-term benefits of HER
system which include increased in efficiency and improvement in quality and patient
safety, yet there are a number of challenges faced by health care authorities during
implementation of same. Hereby, for successfully implement the interfaced EHR-LIS,
they have to plan years in advance. Along with this, they also need to anticipate the
impact of such integrated system, which could be challenging for fully understanding the
technical, workflow as well as resource aspects, that prepare for a potentially and
adequately protracted system with subsequent stabilization. Clinical information
systems (CISs) since have generated opportunities in terms of developing
improvements both in patient care and treatment procedures but still there needs a long
2

way to perfection. It includes data exchange, adequate management and integration
because of shortage of functionality among these systems, that creates challenges in
front of health care authorities. Similarly, limitations can also be attributed to
organizational, human and technical factors, that needs to be improved for
implementing and executing digital health care system in appropriate manner.
3