The Implementation of an Electronic Medical Record in a German Hospital and the Change in Completeness of Documentation: Longitudinal Document Analysis.

ABSTRACT:

Background

Electronic medical records (EMR) are considered a key component of the health care system's digital transformation. The implementation of an EMR promises various improvements, for example, in the availability of information, coordination of care, or patient safety, and is required for big data analytics. To ensure those possibilities, the included documentation must be of high quality. In this matter, the most frequently described dimension of data quality is the completeness of documentation. In this regard, little is known about how and why the completeness of documentation might change after the implementation of an EMR.

Objective

This study aims to compare the completeness of documentation in paper-based medical records and EMRs and to discuss the possible imp

SUBMITTER: Wurster F 

PROVIDER: S-EPMC10837754 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature