Cihoric Nikola, Riggenbach Elena, Putora Paul Martin, Dennstädt Fabio
Department of Radiation Oncology, Inselspital, Bern University Hospital, and the University of Bern, Bern, Switzerland.
Department of Radiation Oncology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
Front Oncol. 2024 Nov 28;14:1231757. doi: 10.3389/fonc.2024.1231757. eCollection 2024.
Digitalization has become integral to healthcare and specifically cancer treatment. Healthcare providers in oncology widely use electronic data collection and management systems in contemporary clinical practice. However, some reports point to severe problems regarding usability, which negatively impact the clinical workforce, as well as safety issues related to electronic health records, which potentially endanger patients. This systematic review aims to evaluate current scientific literature on the usability and safety aspects of electronic health records in oncology.
We conducted a systematic literature review on PubMed and Scopus to identify articles on the usability and safety aspects of electronic health records and clinical information systems utilized in oncological care. Two authors independently evaluated available literature according to predefined inclusion and exclusion criteria. Finally, we quantitatively analyzed and classified the reported findings.
Our literature research strategy retrieved 1032 articles. We included seven articles for further processing. Three projects focused on the assessment of electronic health record functionality, three projects described the process of user-driven design, and one article described remediation procedures introduced to compensate inability of computer systems to adapt to user requirements.
Literature on the usability and safety of electronic health records in oncology is sparse. It is essential to raise awareness and start systematic activity to promote research on the usability of electronic health records in oncology.
数字化已成为医疗保健尤其是癌症治疗不可或缺的一部分。肿瘤学领域的医疗服务提供者在当代临床实践中广泛使用电子数据收集和管理系统。然而，一些报告指出了有关可用性的严重问题，这些问题对临床工作人员产生负面影响，以及与电子健康记录相关的安全问题，这可能危及患者。本系统评价旨在评估当前关于肿瘤学中电子健康记录的可用性和安全性方面的科学文献。
我们在PubMed和Scopus上进行了系统的文献综述，以识别关于肿瘤护理中使用的电子健康记录和临床信息系统的可用性和安全性方面的文章。两位作者根据预定义的纳入和排除标准独立评估可用文献。最后，我们对报告的结果进行了定量分析和分类。
我们的文献研究策略检索到1032篇文章。我们纳入了7篇文章进行进一步处理。三个项目侧重于电子健康记录功能的评估，三个项目描述了用户驱动设计的过程，一篇文章描述了为弥补计算机系统无法适应用户需求而引入的补救程序。
关于肿瘤学中电子健康记录的可用性和安全性的文献很少。提高认识并开展系统活动以促进对肿瘤学中电子健康记录可用性的研究至关重要。
