Rahadhan Perdana, Poon Simon K, Land Lesley
School of Information Technologies, The University of Sydney, Australia.
Stud Health Technol Inform. 2012;178:192-8.
While Electronic Medical Records (EMR) have been hailed as an important step for advancing healthcare, a number of studies have noted that its introduction also brings unintended consequences to healthcare organisations. This means that introducing EMR to key stakeholders such as clinicians, healthcare administrators, as well as to the overall healthcare organisations, may not be as straightforward as we have hoped for. There has been some empirical work and systematic reviews specifically addressing the unintended consequences for EMR. Given the complexity of these issues, continued effort to investigate them is critical. This paper first proposes an integration and systematisation of the existing literature on the unintended consequences of EMR (including its various definitions and classifications), and then provides insights for dealing with these issues, including mitigation strategies for addressing these issues.
虽然电子病历（EMR）被誉为推动医疗保健发展的重要一步，但一些研究指出，其引入也给医疗保健组织带来了意想不到的后果。这意味着，将电子病历引入临床医生、医疗保健管理人员等关键利益相关者以及整个医疗保健组织，可能并不像我们期望的那么简单。已经有一些实证研究和系统综述专门探讨了电子病历的意外后果。鉴于这些问题的复杂性，持续努力研究它们至关重要。本文首先对关于电子病历意外后果的现有文献（包括其各种定义和分类）进行整合和系统化，然后提供应对这些问题的见解，包括解决这些问题的缓解策略。
