Does the Electronic Medical Record (EMR) impact interprofessional collaboration in an acute setting? A systematic review

Ms Samantha Robertson1,2, Prof Sandra Brauer2, Dr Ingrid Rosbergen2,3

1Sunshine Coast University Hospital, Queensland Health, Birtinya, Australia, 2University of Queensland, St Lucia, Australia, 3Surgical Treatment and Rehabilitation Service (STARS), Hertson, Brisbane, Australia

Background
As digital aspects of health care have increased, face to face communication amongst professions has decreased. The hospital electronic medical record (EMR) has the potential to improve interprofessional collaboration, however the opposite effect is also reported, with disconnected teams and ‘information overload’.

Objective
We aim to identify, describe and evaluate studies on the effect of an EMR on interprofessional collaboration within a hospital setting.

Methods
Eligible studies include those in an inpatient setting with the main intervention as the EMR or modification to the EMR (i.e., dashboard). Outcomes can be measured via teamwork, communication, coordination or staff perceptions of interprofessional collaboration. Studies involving patient specific outcomes will be excluded. Observational studies, randomised controlled trials, non-randomised controlled trials, controlled before-after studies and mixed methods study designs will be included. We will search PubMed, Embase, CINAHL, Cochrane, Scopus, Web of Science and ACM Digital Library. No publication date limit shall be applied. Subject heading and title/abstract searches will be undertaken for the search concepts: ‘interprofessional collaboration’ AND ‘electronic health records’ AND ‘hospital, personnel’. Phrases synonymous with these terms will be searched by title/abstract and combined using the Boolean operator OR. Risk of bias will be assessed by the ROB 2 tool for randomised controlled trials and the ROBINS-I tool for non-randomised intervention studies.

Results
Number, type and results of included studies will be described. Data will be classified by domains of interprofessional collaboration informed by the literature.

Discussion
Strengths and limitations will be discussed and recommendations for areas for further research.


Biography:

Samantha Robertson is a clinical dietitian (APD) and PhD candidate with the School of Health and Rehabilitation Sciences at the University of Queensland (UQ). Samantha began her career working for the NHS in London, gaining experience in a broad range of areas and is now based at the Sunshine Coast University Hospital, specialising in acute stroke for the past 10 years. Samantha was awarded the ‘Bringing Digital Excellence to Clinical Excellence’ scholarship by the Digital Health CRC and Queensland Health collaboration and has commenced her PhD in the area of digital health and clinical informatics. Her research focuses on implementing an electronic medical record innovation in stroke and its impact on interprofessional practice and real time data analytics.

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