{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T15:02:18Z","timestamp":1792940538317,"version":"4.5.0"},"reference-count":34,"publisher":"BMJ","issue":"1","funder":[{"name":"NHS Hampshire & Isle of Wight Sustainability and Transformation Partnership"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2018,11,20]]},"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Patient records are often fragmented across organisations and departments in UK health and care services, often due to substandard information technology. However, although government policy in the UK and internationally is strongly pushing \u2018digital transformation\u2019, the evidence for the positive impact of electronic information systems on cost, quality and safety of healthcare is far from clear. In particular, the mechanisms by which information availability is translated into better decision-making are not well understood. We do not know when a full interorganisational record is more useful than a key information summary or an institutional record. In this paper, we describe our scoping review of how interorganisational electronic health records affect decision-making by hospital physicians and pharmacists.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and analysis<\/jats:title>\n                  <jats:p>This scoping review will follow the Arksey and O\u2019Malley (2005) methodology. The review has adopted sociotechnical systems thinking and the notion of distributed cognition as its guiding conceptual models. The UK National Institute for Health and Care Excellence Healthcare Databases Advanced Search will be used, as it incorporates key sources including PubMed, Medline, Embase, HMIC and Health Business Elite. A hand search will be conducted using the reference lists of included studies to identify additional relevant articles. A two-part study selection process will be used: (1) a title and abstract review and (2) full text review. During the first step, two researchers separately will review the citations yielded from the search to determine eligibility based on the defined inclusion and exclusion criteria. Related articles will be included if they are empirical studies that address how interorganisational records affect decision-making by hospital physicians and pharmacists.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Ethics and dissemination<\/jats:title>\n                  <jats:p>The results will be disseminated through stakeholder meetings, conference presentations and peer-reviewed publication. The data used are from publicly available secondary sources, so this study does not require ethical review.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2018-023712","type":"journal-article","created":{"date-parts":[[2019,1,15]],"date-time":"2019-01-15T14:55:31Z","timestamp":1547564131000},"page":"e023712","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Protocol for a scoping review to understand how interorganisational electronic health records affect hospital physician and pharmacist decisions"],"prefix":"10.1136","volume":"9","author":[{"given":"Philip","family":"Scott","sequence":"first","affiliation":[{"name":"Centre for Healthcare Modelling and Informatics, University of Portsmouth, Portsmouth, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haythem","family":"Nakkas","sequence":"additional","affiliation":[{"name":"Centre for Healthcare Modelling and Informatics, University of Portsmouth, Portsmouth, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Roderick","sequence":"additional","affiliation":[{"name":"Public Health Sciences and Medical Statistics Group, University of Southampton, Southampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,1,15]]},"reference":[{"key":"2025101814194730000_9.1.e023712.1","unstructured":"The Richmond Group of Charities. My data, my care. How better use of data improves health and wellbeing. 2017. https:\/\/richmondgroupofcharities.org.uk\/sites\/default\/files\/lr_5233_richmond_group_my_data_my_care_report.pdf (cited 17 Apr 2018)."},{"key":"2025101814194730000_9.1.e023712.2","unstructured":"Wachter R . Making IT work: harnessing the power of health information technology to improve care in England. 2016. https:\/\/www.gov.uk\/government\/publications\/using-information-technology-to-improve-the-nhs (cited 18 Apr 2018)."},{"key":"2025101814194730000_9.1.e023712.3","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1186\/s12911-017-0545-y","article-title":"Finnish physicians\u2019 stress related to information systems keeps increasing: a longitudinal three-wave survey study","volume":"17","author":"Heponiemi","year":"2017","journal-title":"BMC Med Inform Decis Mak"},{"key":"2025101814194730000_9.1.e023712.4","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2014-003555"},{"key":"2025101814194730000_9.1.e023712.5","first-page":"244","article-title":"Exploiting the information revolution: call for independent evaluation of the latest English national experiment","volume":"22","author":"Scott","year":"2015","journal-title":"J Innov Health Inform"},{"key":"2025101814194730000_9.1.e023712.6","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d6054"},{"key":"2025101814194730000_9.1.e023712.7","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000387"},{"key":"2025101814194730000_9.1.e023712.8","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckv122"},{"key":"2025101814194730000_9.1.e023712.9","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.24.5.1103"},{"key":"2025101814194730000_9.1.e023712.10","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-13-135"},{"key":"2025101814194730000_9.1.e023712.11","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-6-92"},{"key":"2025101814194730000_9.1.e023712.12","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1001\/2013.jamainternmed.61","article-title":"Information overload and missed test results in electronic health record-based settings","volume":"173","author":"Singh","year":"2013","journal-title":"JAMA Intern Med"},{"key":"2025101814194730000_9.1.e023712.13","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1985.03360090075024"},{"key":"2025101814194730000_9.1.e023712.14","first-page":"633","article-title":"Health information exchange as a complex and adaptive construct: scoping review","volume":"23","author":"Akhlaq","year":"2017","journal-title":"J Innov Health Inform"},{"key":"2025101814194730000_9.1.e023712.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2007.08.002"},{"key":"2025101814194730000_9.1.e023712.16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2007.09.001"},{"key":"2025101814194730000_9.1.e023712.17","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.328.7444.875"},{"key":"2025101814194730000_9.1.e023712.18","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.ijmedinf.2017.09.001","article-title":"Implementation of a cloud-based electronic medical record exchange system in compliance with the integrating healthcare enterprise\u2019s cross-enterprise document sharing integration profile","volume":"107","author":"Wu","year":"2017","journal-title":"Int J Med Inform"},{"key":"2025101814194730000_9.1.e023712.19","unstructured":"HL7 International. FHIR Overview - Architects. 2018 https:\/\/www.hl7.org\/fhir\/overview-arch.html (cited Oct 14 2018)."},{"key":"2025101814194730000_9.1.e023712.20","doi-asserted-by":"publisher","DOI":"10.1016\/j.apergo.2013.02.009"},{"key":"2025101814194730000_9.1.e023712.21","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2007.04.008"},{"key":"2025101814194730000_9.1.e023712.22","doi-asserted-by":"publisher","DOI":"10.1197\/jamia.M2384"},{"key":"2025101814194730000_9.1.e023712.23","doi-asserted-by":"crossref","first-page":"214","DOI":"10.2174\/1874431101004010214","article-title":"STAT-HI: a socio-technical assessment tool for health informatics implementations","volume":"4","author":"Scott","year":"2010","journal-title":"Open Med Inform J"},{"key":"2025101814194730000_9.1.e023712.24","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2010.042085"},{"key":"2025101814194730000_9.1.e023712.25","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.1177\/1049732316665347","article-title":"Navigating the decision space: shared medical decision making as distributed cognition","volume":"27","author":"Lippa","year":"2017","journal-title":"Qual Health Res"},{"key":"2025101814194730000_9.1.e023712.26","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1016\/j.jbi.2014.12.006","article-title":"Exploring medical device design and use through layers of distributed cognition: how a glucometer is coupled with its context","volume":"53","author":"Furniss","year":"2015","journal-title":"J Biomed Inform"},{"key":"2025101814194730000_9.1.e023712.27","doi-asserted-by":"crossref","unstructured":"Grudin J . The computer reaches out: the historical continuity of interface design. SIGCHI Conference on Human Factors in Computing Systems, Seattle, Washington, USA, 1990.","DOI":"10.1145\/97243.97284"},{"key":"2025101814194730000_9.1.e023712.28","first-page":"77","article-title":"Evidence-based health informatics frameworks for applied use","volume":"222","author":"Craven","year":"2016","journal-title":"Stud Health Technol Inform"},{"key":"2025101814194730000_9.1.e023712.29","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1093\/jamia\/ocw154","article-title":"Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review","volume":"24","author":"Kim","year":"2017","journal-title":"J Am Med Inform Assoc"},{"key":"2025101814194730000_9.1.e023712.30","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-13-48"},{"key":"2025101814194730000_9.1.e023712.31","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-5-69"},{"key":"2025101814194730000_9.1.e023712.32","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g7647"},{"key":"2025101814194730000_9.1.e023712.33","doi-asserted-by":"publisher","DOI":"10.1080\/1364557032000119616"},{"key":"2025101814194730000_9.1.e023712.34","first-page":"1","article-title":"Appraising the quality of systematic reviews","volume":"17","author":"Schlosser","year":"2007","journal-title":"Focus"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2018-023712","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T21:19:53Z","timestamp":1760822393000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2018-023712"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":34,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2019,1,15]]},"published-print":{"date-parts":[[2019,1]]}},"alternative-id":["10.1136\/bmjopen-2018-023712"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2018-023712","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1]]}}}