Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis.

BMJ Quality & Safety
Ana Luisa NevesErik K Mayer

Abstract

To evaluate the impact of sharing electronic health records (EHRs) with patients and map it across six domains of quality of care (ie, patient-centredness, effectiveness, efficiency, timeliness, equity and safety). Systematic review and meta-analysis. CINAHL, Cochrane, Embase, HMIC, Medline/PubMed and PsycINFO, from 1997 to 2017. Randomised trials focusing on adult subjects, testing an intervention consisting of sharing EHRs with patients, and with an outcome in one of the six domains of quality of care. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. Title and abstract screening were performed by two pairs of investigators and assessed using the Cochrane Risk of Bias Tool. For each domain, a narrative synthesis of the results was performed, and significant differences in results between low risk and high/unclear risk of bias studies were tested (t-test, p<0.05). Continuous outcomes evaluated in four studies or more (glycated haemoglobin (HbA1c), systolic blood pressure (SBP) and diastolic blood pressure (DBP)) were pooled as weighted mean difference (WMD) using random effects meta-analysis. Sensitivity analyses were performed for low risk of bias studies, and long-term intervent...Continue Reading

References

Jun 1, 1983·Acta Psychiatrica Scandinavica·A S Zigmond, R P Snaith
Jan 1, 1993·Patient Education and Counseling·L L Dickey
Mar 1, 1993·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·M R DiMatteoW H Rogers
Nov 5, 1999·BMJ : British Medical Journal·R JonesJ McEwen
Jun 7, 2000·Diabetes Care·R M AndersonD G Marrero
Oct 7, 2003·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·O A ArahT Custers
Jun 10, 2004·Journal of the American Medical Informatics Association : JAMIA·Mark A EarnestChen-Tan Lin
Jun 29, 2005·Diabetes Care·Graham T McMahonPaul R Conlin
Dec 13, 2005·Health Services Research·Judith H HibbardMartin Tusler
Oct 19, 2006·Journal of Psychosocial Oncology·Caroline BulsaraMax Bulsara
Apr 10, 2007·Fertility and Sterility·Wouter S TuilJan A M Kremer
Jan 17, 2008·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Elizabeth ShawJoyce Zazulak
Jun 26, 2008·JAMA : the Journal of the American Medical Association·Beverly B GreenRobert S Thompson
Sep 10, 2008·Archives of Internal Medicine·Richard W GrantBlackford Middleton
Nov 20, 2008·Diabetes Care·James D RalstonHarold I Goldberg
Apr 7, 2009·Diabetes Technology & Therapeutics·Kelly P McCarrierHarold I Goldberg
Jul 8, 2009·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Anne HolbrookUNKNOWN COMPETE II Investigators
Jan 5, 2010·Journal of Diabetes Science and Technology·Stephanie J FondaPaul R Conlin
Oct 27, 2010·Health Outcomes Research in Medicine·Shamima KhanBenjamin Littenberg
Mar 30, 2011·Archives of Internal Medicine·Cyrus K YaminDavid W Bates
Jan 12, 2012·Journal of the American Medical Informatics Association : JAMIA·Peggy J WagnerPat Sodomka
Mar 10, 2012·Journal of the American Board of Family Medicine : JABFM·Zsolt NagykaldiJames W Mold
May 5, 2012·Journal of the American Medical Informatics Association : JAMIA·Jeffrey L SchnipperBlackford Middleton
Jul 11, 2012·Annals of Family Medicine·Alex H KristGary R Matzke
Nov 23, 2012·Journal of the American Medical Informatics Association : JAMIA·Paul C TangCharles Y Young
Nov 28, 2012·Journal of Medical Internet Research·Elske AmmenwerthAlexander Hoerbst
Oct 25, 2013·Journal of the American Medical Informatics Association : JAMIA·Traber Davis GiardinaHardeep Singh
Nov 20, 2013·Annals of Internal Medicine·Caroline Lubick GoldzweigPaul G Shekelle
Dec 12, 2013·Journal of the American Medical Informatics Association : JAMIA·Elizabeth A ChrischillesBarcey Levy
Jan 17, 2014·Journal of Medical Internet Research·Kenji Kashiwagi, Shigeo Tsukahara
Dec 7, 2014·Journal of General Internal Medicine·David Blumenthal, David Squires
Mar 4, 2015·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Freda MoldBeverley Ellis

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Citations

Feb 27, 2021·The Cochrane Database of Systematic Reviews·Elske AmmenwerthPetra Schnell-Inderst
Feb 23, 2021·Journal of Medical Internet Research·Olivia LounsburyAna Luisa Neves
Dec 5, 2021·BMJ : British Medical Journal·Ana Luisa Neves
Feb 5, 2022·JAMA : the Journal of the American Medical Association·Charlotte BleaseSharona Hoffman

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