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Organisational Intervention: Changes in medical records systems


Change in format or structure of medical record, such as switching to computerised records.


Two high quality reviews (Boyle, Buckley) were identified and they had an insufficient number of studies from which to draw any conclusions.

Summary of Overall Findings from Reviews

6 reviews that examined the effectiveness of changes in medical record systems were identified . Two reviews were assessed as being of high quality.

Summary of Findings Related to Prescribing

No high quality or key reviews with a sufficient number of studies to draw conclusions about prescribing outcomes were identified.

Reviews listed as "Summary Pending" will be analyzed, summarized and reported at a later date.

The findings will then be incorporated in the overall evidence summaries of the interventions they address.

Reviews Addressing This Intervention Quality Assessment Tool:
AMSTAR Score (of 11 points)
Boyle R, Solberg L, Fiore M. Use of electronic health records to support smoking cessation. Cochrane Database of Systematic Reviews 2011 12:CD008743. 9 (High)
Buckley BS, Byrne MC, Smith SM. Service organisation for the secondary prevention of ischaemic heart disease in primary care. Cochrane Database of Systematic Reviews 2010 3:CD006772. 8 (High)
Divall P, Camosso-Stefinovic J, Baker R. The use of personal digital assistants in clinical decision making by health care professionals: a systematic review. Health Informatics Journal 2013 19 (1):16-28. 7
Summary Pending
McKibbon KA, Lokker C, Handler SM, Dolovich LR, Holbrook AM, O'Reilly D, Tamblyn R, Hemens BJ. Basu R. Troyan S. Roshanov PS. Archer NP. Raina P. Enabling medication management through health information technology. Agency for Healthcare Research and Quality Technical Reviews 2011 Evidence R (11-E008-EF). 7 (Medium)
Duckers M, Faber M, Cruijsberg J, Grol R, Schoonhoven L, Wensing M. Safety and risk management interventions in hospitals: a systematic review of the literature. Medical Care Research and Review 2009 66 (Suppl 6):90S-119S. 6 (Medium)
Sinnemaki J, Sihvo S, Isojarvi J, Blom M, Airaksinen M, Mantyla A. Automated dose dispensing service for primary healthcare patients: a systematic review. Systems Review 2013 2 (1). 6
Summary Pending
Cleveringa FG, Gorter KJ, van den Donk M, van GJ, Rutten GE. Computerized decision support systems in primary care for type 2 diabetes patients only improve patients' outcomes when combined with feedback on performance and case management: a systematic review. Diabetes Technology & Therapeutics 2013 15 (2):180-192. 5
Summary Pending
Chaudhry B, Wang J, Wu S, Maglione M, Mojica W, Roth E, Morton SC, Shekelle PG. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Annals of Internal Medicine 2006 144 (10):742-52. 4 (Medium)
Ioannidis JP, Lau J. Evidence on interventions to reduce medical errors: an overview and recommendations for future research. Journal of General Internal Medicine 2001 16 (5):325-34. 4 (Medium)
Aspry KE, Furman R, Karalis DG, Jacobson TA, Zhang AM, Liptak GS, Cohen JD. Effect of health information technology interventions on lipid management in clinical practice: A systematic review of randomized controlled trials. Journal of Clinical Lipidology 2013 7 (6):546-560. Summary Pending