AI Article Synopsis
- A study reviewed the impact of health information technologies (HIT) like electronic health records (EHRs) and computerized provider order entry (CPOE) on surgical practices.
- Despite identifying nearly 3,000 citations, only 34 studies provided relevant data, showing improvements in antibiotic administration and the accuracy of operative notes through HIT.
- However, the overall quality of evidence is low, and while patient portals are increasingly used, their effects on surgical care have not been adequately studied, highlighting the need for further research.
Article Abstract
Background: Electronic health records (EHRs), computerized provider order entry (CPOE), and patient portals have experienced increased adoption by health care systems. The objective of this study was to review evidence regarding the impact of such health information technologies (HIT) on surgical practice.
Materials And Methods: A search of Medline, EMBASE, CINAHL, and the Cochrane Library was performed to identify data-driven, nonsurvey studies about the effects of HIT on surgical care. Domain experts were queried for relevant articles. Two authors independently reviewed abstracts for inclusion criteria and analyzed full text of eligible articles.
Results: A total of 2890 citations were identified. Of them, 32 observational studies and two randomized controlled trials met eligibility criteria. EHR or CPOE improved appropriate antibiotic administration for surgical procedures in 13 comparative observational studies. Five comparative observational studies indicated that electronically generated operative notes had increased accuracy, completeness, and availability in the medical record. The Internet as an information resource about surgical procedures was generally inadequate. Surgical patients and providers demonstrated rapid adoption of patient portals, with increasing proportions of online versus inperson outpatient surgical encounters.
Conclusions: The overall quality of evidence about the effects of HIT in surgical practice was low. Current data suggest an improvement in appropriate perioperative antibiotic administration and accuracy of operative reports from CPOE and EHR applications. Online consumer health educational resources and patient portals are popular among patients and families, but their impact has not been studied well in surgical populations. With increasing adoption of HIT, further research is needed to optimize the efficacy of such tools in surgical care.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4939767 | PMC |
| http://dx.doi.org/10.1016/j.jss.2016.03.053 | DOI Listing |
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