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A critical pathway for electronic medical record selection.

A Holbrook¹, K Keshavjee, K Langton

¹Centre for Evaluation of Medicines, St. Joseph's Hospital.

Proceedings. AMIA Symposium

|February 5, 2002

Summary

Selecting electronic medical records (EMRs) requires a rigorous, multidisciplinary approach. This study details an 8-stage evaluation process for EMR selection, emphasizing clinical usability and data quality for successful implementation.

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Area of Science:

Health Informatics
Health Services Research
Medical Technology Evaluation

Background:

Electronic medical records (EMRs) are crucial in modern healthcare.
Despite their importance, rigorous research on EMRs, particularly their selection, is limited.
Understanding the impact of EMRs on efficiency, quality, and privacy is essential.

Purpose of the Study:

To describe a rigorous, multidisciplinary EMR selection process.
To evaluate potential EMR systems for the COMPETE study.
To identify key criteria for successful EMR implementation.

Main Methods:

An 8-stage critical pathway approach was used for EMR selection.
A multidisciplinary team with clinical, technical, and research expertise was involved.
Physician input, specification reviews, demonstrations, site visits, and vendor negotiations guided the process.

Main Results:

The evaluation process progressively narrowed the field of eligible EMR systems.
Final scoring focused on clinical usability, data quality, and vendor support.
A systematic methodology was developed for EMR evaluation.

Conclusions:

A rigorous, multidisciplinary EMR selection process is vital for successful implementation.
Clinical usability and data quality are paramount in EMR system choice.
This structured approach can guide future EMR adoption projects.