Evaluating Clinician Performance with Electronic Medical Record Systems in Hospital Organization: A Protocol for Systematic Review

Background: The potential benefits of Electronic Medical Record systems (EMRs) are recognized mainly to improve healthcare quality, reduce medical resources, and enhance clinical decision-making. However, without regular assessments, the utilization of the system could potentially have an adverse impact on the job performance of healthcare personnel in any healthcare facilities. This systematic review aims to examine the influence of EMR adoption on the performance of healthcare professionals within hospital settings. Methods: We will utilize an extensive search strategy that incorporates five distinct concepts: EMR, work performance, healthcare personnel, hospital, and study design. Four databases (Medline, Scopus, Web of Science, Science Direct), and a web search (Google Scholar) will be interrogated, along with an in-depth investigation of the grey literature and bibliographies of pertinent articles. We evaluated the research quality using two tools: The Joanna Briggs Institute Critical Appraisal Checklist for analytical cross-sectional study, The Critical Appraisal Skills Programme Checklist for qualitative research. Furthermore, a data collection process has been adopted to simplify data extraction and analysis. Data will be summarized in a narrative review, but if significant homogeneity between articles is found, a meta-analysis will be conducted. Discussion: This systematic review will provide a summary of the existing evidence from interventions implemented to enhance clinician performance and list the key determinants influencing EMRs adoption. These finding can contribute to improving EMRs implementation in healthcare facilities.