95 Medical Specialists’ Perspectives on the Influence of Electronic Medical Record Use Table 5 - Interconnectivity - Illustrative quotes from participants Technical aspects of EMRs Quote category Quote Interconnectivity/ standardisation EMR hardware and software can be used straight “out of the box”, it has to interconnect with other devices that “complement” the EMR system barrier “Many separate systems are high risk because they are not linked, for example when transferring files” (participant 11) “Gynaecologists work with 4 systems (safety risk), because systems are not interlinked” (participant 9) “SPD now strongly split into specialties.” (participant 4) facilitator “Good quality photos can be easily obtained.” (participant 7) “Back in the day, there was no background information available if the GP’s notification read ‘diarrhoea’, now there is” (participant 5) Limitation of the system According to the participants, the IT-systems promise a great deal but offer little more than the old paper situation. Participants particularly point to the promised additional intelligence which is either absent from the systems or present in a very limited sense [table 6]. The system could offer, for example, so-called ‘evidence-based’ advice based on the individual and combined patient data available in the system 16. An oft-heard theme is also the lack of analytic tools to analyse the available data and to anticipate developments in the health of patients in the hospital. 6
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