Lee Ann Thong, Ramasamy R Kanesaraj, Subbarao Anusuyah
Faculty of Management, Multimedia University, Cyberjaya 63100, Malaysia.
Faculty Computing Informatics, Multimedia University, Cyberjaya 63100, Malaysia.
Int J Environ Res Public Health. 2025 Mar 23;22(4):479. doi: 10.3390/ijerph22040479.
Even while technology is advancing quickly in many areas, the healthcare industry, particularly emergency departments, is slow to incorporate new technologies. The majority of research is on healthcare in general, with few studies examining medical officers' adoption of technology in emergency departments.
This study used a comprehensive review design and examined a total of 30 peer-reviewed articles that were published between 2019 and 2024. The articles were reviewed by using keywords such as "technology adoption", "influence factors", "medical technology", "barriers", "healthcare", "emergency departments", "ED", and so on. This review aimed to identify barriers and facilitators to provide insights to improve technology adoption in emergency departments.
The studies were conducted using different techniques, including surveys, interviews, and systematic reviews, to examine technology adoption in emergency departments across different geographic locations. The technologies studied include clinical decision support systems, telemedicine, electronic health records, and AI-based innovations. Several barriers were discovered in this study, including high employee turnover, accessibility issues, insufficient technology availability, resistance to change, and excessive workload. Key enabling facilitators were also identified, namely, good collaboration and communication, a supportive and engaged management team, and rigorous education and training.
This study highlights that tailored strategies and collaboration are essential to overcoming barriers in emergency departments, which will lead to faster adoption of technologies that improve patient outcomes and efficiency. Further research will involve performing a deeper study of these findings and investigating more creative techniques to improve technology integration and further establish higher standards of care inside emergency departments.
尽管技术在许多领域迅速发展，但医疗行业，尤其是急诊科，在采用新技术方面进展缓慢。大多数研究是关于总体医疗保健的，很少有研究考察医务人员在急诊科采用技术的情况。
本研究采用综合综述设计，共审查了2019年至2024年发表的30篇同行评议文章。通过使用“技术采用”、“影响因素”、“医疗技术”、“障碍”、“医疗保健”、“急诊科”、“ED”等关键词对文章进行审查。本综述旨在识别障碍和促进因素，以提供见解，改善急诊科的技术采用情况。
这些研究采用了不同的技术，包括调查、访谈和系统综述，以考察不同地理位置急诊科的技术采用情况。所研究的技术包括临床决策支持系统、远程医疗、电子健康记录和基于人工智能的创新。本研究发现了几个障碍，包括员工高流动率、可及性问题、技术可用性不足、对变革的抵制和工作量过大。还确定了关键的促进因素，即良好的协作与沟通、支持性和积极参与的管理团队以及严格的教育和培训。
本研究强调，量身定制的策略和协作对于克服急诊科的障碍至关重要，这将导致更快采用能改善患者治疗效果和效率的技术。进一步的研究将包括对这些发现进行更深入的研究，并探索更具创造性的技术，以改善技术整合，并在急诊科进一步建立更高的护理标准。
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