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Related Experiment Videos

Applying methodology to electronic medical record selection.

Anne Holbrook1, Karim Keshavjee, Sue Troyan

  • 1Centre for Evaluation of Medicines, St. Joseph's Hospital, 105 Main Street East, Level P1, Hamilton, Ont., Canada L8N 1G6. holbrook@mcmaster.ca

International Journal of Medical Informatics
|August 12, 2003
PubMed
Summary
This summary is machine-generated.

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A rigorous, multidisciplinary evaluation process is effective for selecting electronic medical record (EMR) systems. This systematic approach ensures buy-in and realistic expectations, improving EMR implementation success.

Area of Science:

  • Health Informatics
  • Medical Technology Evaluation
  • Clinical Decision Support

Background:

  • Electronic Medical Records (EMRs) are transforming healthcare, yet rigorous research on their impact remains limited.
  • The COMPETE program investigates EMRs and electronic decision support's effects on efficiency, quality, and privacy.
  • A structured approach to EMR selection was developed and implemented.

Purpose of the Study:

  • To develop and apply a rigorous methodology for selecting Electronic Medical Records (EMRs).
  • To evaluate the impact of EMRs and electronic decision support systems.
  • To ensure successful EMR implementation through a systematic selection process.

Main Methods:

  • An eight-stage evaluation process involving a multidisciplinary team and clinical user input.

Related Experiment Videos

  • Iterative review of EMR specifications, demonstrations, site visits, and vendor negotiations.
  • Final scoring based on clinical usability, data quality, and vendor viability.

    • Main Results:

    • The selection process effectively narrowed down eligible EMR systems to a few finalists.
    • Clinician and technical specialist preferences varied, particularly regarding user interface versus database issues.
    • Consensus was achieved among clinical and technical experts in the final scoring.

    Conclusions:

    • A rigorous, multidisciplinary EMR selection process is highly beneficial.
    • This transparent process enhances user buy-in and manages expectations for EMR implementation.
    • Adopting such a method can significantly improve the success rate of EMR projects.