Transitioning from one Electronic Health Record (EHR) to Another: A Narrative Literature Review

摘要

This paper reports the results of a literature review of health care organizations that have transitioned fromone electronic health record (HER) to another. Ten different HER to HER transitions are documented inthe academic literature. In eight of the 10 transitions, the health care organization transitioned to Epic, acommercial HER which is dominating the market for large and medium hospitals and health care systems.The focus of the articles reviewed falls into two main categories: (1) data migration from the old to newHER and (2) implementation of the new HER as it relates to patient safety, provider satisfaction, and othermeasures pre- and post-transition. Several conclusions and recommendations are derived from this reviewof the literature, which may be informative for healthcare organizations preparing to replace an existingHER. These recommendations are likely broadly relevant to HER to HER transitions, regardless of the newHER vendor.