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Table 6 Category C - Process findings

From: Implementing electronic health records in hospitals: a systematic literature review

General finding Finding code Article numbers
Due to their influential position, management’s active involvement and support is positively associated with EHR implementation, and also counterbalances the physicians’ medical dominance. C1 19/24/25/32/33/34/35
Participation of clinical staff in the implementation process increases support for and acceptance of the EHR implementation. C2 19/25/26/28/32/35/36
Training end-users and providing real-time support is important for EHR implementation success. C3 19/29/32/36
A comprehensive implementation strategy, offering both clear guidance and room for emergent change, is needed for implementing an EHR system. C4 19/21/25/26/28/31/37/40/36
Establishing an interdisciplinary implementation group consisting of developers, members of the IT department, and end-users fosters EHR implementation success. C5 19/32/36
Resistance of clinical staff, in particular of physicians, is a major barrier to EHR implementation, but can be reduced by addressing their concerns. C6 22/24/26/28/29/33/36
C7: Identifying champions among clinical staff reduces resistance. C7 32/33/36
Assigning a sufficient number of staff and other resources to the EHR implementation process is important in adequately implementing the system. C8 19/26/32/33/36