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Related Concept Videos

Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

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Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
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Shared Decision-Making Tools Implemented in the Electronic Health Record: Scoping Review.

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Summary
This summary is machine-generated.

Integrating shared decision-making (SDM) tools into electronic health records (EHRs) shows promise for improving patient care. Standardization and clinician workflow integration are key for successful adoption of SDM in routine practice.

Keywords:
decision supportelectronic health recordspatient engagementshared decision-making

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Area of Science:

  • Health Informatics
  • Clinical Decision Support
  • Patient Engagement

Background:

  • Patient-centered care emphasizes patient involvement in healthcare decisions.
  • Shared decision-making (SDM) implementation faces barriers like technical issues, time constraints, and workflow integration challenges.
  • Electronic health records (EHRs) offer a platform for integrating SDM tools into clinical practice.

Purpose of the Study:

  • To understand the integration and implementation characteristics of SDM interventions within EHR systems.
  • To identify factors influencing the successful adoption of SDM tools in real-world clinical settings.

Main Methods:

  • A scoping review was conducted using the Arksey and O'Malley framework with Joanna Briggs Institute guidance.
  • Searched multiple databases (MEDLINE, Embase, CINAHL, Cochrane, PsycINFO, Scopus, Web of Science) for studies on SDM and EHR integration.
  • Included original research and reviews focusing on real-world clinical settings and EHR integration; excluded retrospective studies, opinion pieces, and editorials.

Main Results:

  • 18 studies (0.84%) met eligibility criteria, showing significant variation in SDM definitions, integration, and implementation.
  • Integrating SDM tools into EHRs improved outcomes in 94% of studies.
  • Most interventions targeted clinicians, with patient goals and values included in 56% of studies.

Conclusions:

  • Integrating SDM tools into EHR clinician workflows is a logical step for routine practice.
  • Standardization of SDM tools and processes, including patient decision aids, is crucial for consistency.
  • Future research should focus on randomized controlled trials for EHR integration and implementation strategies, emphasizing patient values.