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Table 3 Main findings regarding the contribution of Electronic Health Records on the improvement of medical quality and health system

From: Methodological issues of the electronic health records’ use in the context of epidemiological investigations, in light of missing data: a review of the recent literature

Study (Author, Year)

Main findings

Vuppalapati et al. [22]

- Selfies taken for medical image purposes are valuable outpatient healthcare data assets that could provide new clinical insights

- Diagnostics markers that could provide prognosis of a potential masked disease and necessitate actions to avert any emergency incidence

- Improve overall health outcomes of people around the globe in a cost-effective manner that epitomizes the confluence of popularity with curiosity and sharing with accountability

Bar-Dayan et al. [23]

- Positive net financial return from using an electronic medical record system

- Referring patients to preferred providers from classes 1–3 was achieved without administrative staff aid. Increased efficiency by redirecting the administrative manpower engaged in this task to other goals

- Using EHRs to direct referrals to preferred specialty care physicians, accompanied by a comprehensive physician education program, can play a significant role in facilitating effective utilization of healthcare providers and in lowering costs

Lardon et al. [24]

- A business rule management system could be a good basis to implement a tool to help and check diagnosis codes

- Development of rules based on EHR data with the Drools rules engine in order to support diagnosis coding of chronic kidney disease (CKD)

Garnica et al. [25]

- Electronic health records were shown to help in the prognosis of bacteremia, involving early diagnosis for the provision of treatments to avoid complications and death

- The three ML supervised classifiers create accurate predictive models of the blood culture outcome using hospital electronic health records

Zaballa et al. [26]

- Identification of the actions in the health system associated with a disease

- Identification of those patients with a complete treatment for the disease

- Discovery of common treatment pathways followed by the patients with a specific diagnosis

King et al. [27]

- Most physicians with EHRs reported EHR use enhanced patient care overall, helped them access a patient’s chart remotely, and alerted them to a potential medication error and critical lab values

- EHR use was associated with clinical benefits related to providing recommended care, ordering appropriate tests, and facilitating patient communication

Huang et al. [28]

- Timely and accurate prediction of major adverse cardiovascular events after acute coronary syndrome

- Assist clinicians to pay more attention to high-risk patients and improve the quality and efficiency of care accordingly

Linder et al. [29]

- This electronic health record–based intervention improved smoking status documentation and increased counseling assistance to smokers

- There was also a suggestion that outcomes of care may have also improved