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Cited by 57Electronic Health Records SystemsMedical Coding and Health InformationNursing Diagnosis and Documentation

Evidence for Electronic Health Record Systems in Physical Therapy

Vreeman, Daniel J, Taggard, Samuel L, Rhine, Michael D, Worrell, Teddy W·2006·Physical Therapy
DOI 10.1093/ptj/86.3.434
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Abstract

With increasing pressures to better manage clinical information, we investigated the role of electronic health record (EHR) systems in physical therapist practice through a critical review of the literature. We reviewed studies that met our predefined criteria after independent review by 3 authors. The investigators in all of the reviewed studies reported benefits, including improved reporting, operational efficiency, interdepartmental communication, data accuracy, and capability for future research. In 7 studies, the investigators reported barriers, including challenges with behavior modification, equipment inadequacy, and training. The investigators in all studies reported key success factors, including end-user participation, adequate training, workflow analysis, and data standardization. This review suggests that EHRs have potential benefits for physical therapists. The authors formed the following recommendations based on the studies’ themes: (1) incorporate workflow analysis into system design and implementation; (2) include end users, especially clinicians, in system development; (3) devote significant resources for training; (4) plan and test carefully to ensure adequate software and hardware performance; and (5) commit to data standards. [Vreeman DJ, Taggard SL, Rhine MD, Worrell TW. Evidence for electronic health record systems in physical therapy.

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  • Quality of project management, careful study of downstream effects on workflow, additional training, adaptability of technologies to fit with roles/tasks/workflows, and dedicated technical support staff are suggested as strategies to reduce barriers related to disruptions to workflow, roles and responsibilities.

    “The quality of project management during the implementation period [18], careful study of the downstream effects of implementation on workflow [55], additional training [31, 55], the adaptability of technologies to fit with roles, tasks and workflows [37] and dedicated technical support staff [31] are suggested as strategies to reduce barriers related to disruptions to workflow, roles and respons”

    From Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update) (2016) · cites this paper as [55]

  • Incorporating workflow analysis into system design, integrating systems into the usual process of care, user-friendly systems, and minimising workflow interruptions during implementation may minimise disruptions to workflow.

    “Incorporating workflow analysis into system design [48, 55], the integration of systems into the usual process of care [15], user-friendly systems [40] and minimising workflow interruptions during implementation [17] may minimise disruptions to workflow.”

    From Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update) (2016) · cites this paper as [55]

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Cites

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1 of the 65 references couldn’t be matched to a known paper.

Research works printed but not linked: 4

  1. Dick RS, Steen EB, Detmer DE, eds. The Computer-based Patient Record: An Essential Technology for Health Care. Rev ed. Washington, DC: National Academy Press; 1997.
  2. Institute of Medicine, Committee on Data Standards for Patient Safety, Board on Health Care Services. Key Capabilities of an Electronic Health Record System. Washington, DC: National Academy Press; 2003.
  3. van Bemmel JH, Musen MA, Helder JC, eds. Handbook of Medical Informatics. Heidelberg, Germany: Springer Verlag; 1997.
  4. Kaur K, Forducey PG, Glueckauf RL. Prototype database for tele- rehabilitation. Telemed J E Health. 2004;10:213-222.

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Authors
Vreeman, D. J., Taggard, S. L., Rhine, M. D., & Worrell, T. W.
Affiliations
  • Regenstrief Institute (US)
  • Portsmouth Regional Hospital (US)
  • MD Rhine, PT, DPT, CSCS, is Center Therapy Director I, Concentra Medical Centers, Timonium, MD
  • Duke University (US)
Corresponding author
Vreeman, Daniel J
ORCID
Vreeman, Daniel J
Venue
Physical Therapy
Publisher
Oxford University Press (OUP)
Published
2006-03-01
Volume
86
Issue
3
Pages
434-446
ISSN
  • 0031-9023 (ISSN-L)
  • 1538-6724
DOI
10.1093/ptj/86.3.434
OpenAlex
W2129813231
Cited by
57
References
65
Citations by year
2024: 8 · 2023: 2 · 2022: 2 · 2020: 1 · 2019: 2 · 2018: 3 · 2017: 1 · 2016: 5 · 2015: 6 · 2014: 5 · 2013: 2 · 2012: 2
FWCI
7.31
Type
journal article
Language
en
Open access
closed
Locations
  • Physical Therapy (publishedVersion)
  • PubMed (publishedVersion)
Funders
U.S. National Library of Medicine (T15 LM-7117, T15LM007117)
Topics
  • Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
  • Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
  • Health Sciences › Nursing › Issues, ethics and legal aspects › Nursing Diagnosis and Documentation
Keywords
electronic health records, physiotherapy practice, clinical information management, workflow analysis, clinician training, end-user involvement, data standardization, implementation barriers, interdepartmental communication, data accuracy
MeSH terms
Data Collection, Humans, Patient Care Team, Software, Medical Records Systems, Computerized, Program Development, Efficiency, Organizational, Evidence-Based Medicine, Physical Therapy Specialty

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