SynthesisBMC health services research2026
Electronic health records: managerial insights from an umbrella review.
Synthesis in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealthcare systems are increasingly implementing tools that aid the decision-making process of professionals. There is a clear need to develop evidence-based managerial guidelines for implementing electronic health records. This umbrella review aims to identify a parsimonious yet comprehensive set of factors that enhance the efficiency and effectiveness of electronic health records in supporting professionals' decision-making.
methodsWe analysed 199 literature reviews and meta-analyses to classify key factors influencing electronic health records' performance into technological, human, and institutional domains. For each domain, we systematized implications and recommendations relevant to healthcare management.
resultsTechnological factors account for the largest share of existing research, with data management, artificial intelligence, and usability emerging as the most frequently studied areas, while barriers related to ICT infrastructure and software receive comparatively less attention. Human factors are also widely examined, particularly user familiarity, nudges, and system use, whereas collaboration, ethics, and enforced actions are less frequently addressed. Institutional factors primarily concern adoption processes and acceptance, followed by access and workflow optimization; privacy and guidelines are discussed to a lesser extent, while customization and evaluation remain relatively underexplored.
conclusionsHealthcare managers should prioritize cognitive usability, workflow integration, user familiarity, and alignment with organizational strategy when designing and implementing electronic health records. Their development should be guided by robust evidence and continuous, iterative refinement. By placing behavioural considerations at the centre, this review supports the development of systems that not only meet technical standards but also actively enhance clinical reasoning, without duplicating prior efforts. PRE-REGISTRATION: Prospero CRD420251000239.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.