{"id":"https://openalex.org/W4417461909","doi":"https://doi.org/10.1038/s41746-025-02178-w","title":"Meeting the challenges of electronic health record (EHR) optimization","display_name":"Meeting the challenges of electronic health record (EHR) optimization","publication_year":2025,"publication_date":"2025-12-18","ids":{"openalex":"https://openalex.org/W4417461909","doi":"https://doi.org/10.1038/s41746-025-02178-w","pmid":"https://pubmed.ncbi.nlm.nih.gov/41413263"},"language":"en","primary_location":{"id":"doi:10.1038/s41746-025-02178-w","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-025-02178-w","pdf_url":"https://www.nature.com/articles/s41746-025-02178-w_reference.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},"type":"review","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.nature.com/articles/s41746-025-02178-w_reference.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5069911736","display_name":"Sonya Makhni","orcid":"https://orcid.org/0000-0003-4342-1940"},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]},{"id":"https://openalex.org/I2802423016","display_name":"WinnMed","ror":"https://ror.org/02s47w807","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I2802423016"]},{"id":"https://openalex.org/I4210125099","display_name":"Mayo Clinic in Arizona","ror":"https://ror.org/03jp40720","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210125099"]},{"id":"https://openalex.org/I4210146710","display_name":"Mayo Clinic in Florida","ror":"https://ror.org/03zzw1w08","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210146710"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Sonya Makhni","raw_affiliation_strings":["Mayo Clinic Platform, Rochester, MN, USA. makhni.sonya@mayo.edu","Mayo Clinic, Rochester, MN, USA. makhni.sonya@mayo.edu","Mayo Clinic, Rochester, MN, USA","Mayo Clinic Platform, Rochester, MN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic Platform, Rochester, MN, USA. makhni.sonya@mayo.edu","institution_ids":["https://openalex.org/I4210125099","https://openalex.org/I1330342723","https://openalex.org/I4210146710"]},{"raw_affiliation_string":"Mayo Clinic, Rochester, MN, USA. makhni.sonya@mayo.edu","institution_ids":["https://openalex.org/I4210125099","https://openalex.org/I1330342723","https://openalex.org/I4210146710"]},{"raw_affiliation_string":"Mayo Clinic, Rochester, MN, USA","institution_ids":["https://openalex.org/I4210125099"]},{"raw_affiliation_string":"Mayo Clinic Platform, Rochester, MN, USA","institution_ids":["https://openalex.org/I1330342723","https://openalex.org/I2802423016"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020356570","display_name":"Paul Cerrato","orcid":"https://orcid.org/0000-0002-5277-0993"},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]},{"id":"https://openalex.org/I2802423016","display_name":"WinnMed","ror":"https://ror.org/02s47w807","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I2802423016"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Paul Cerrato","raw_affiliation_strings":["Mayo Clinic Platform, Rochester, MN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic Platform, Rochester, MN, USA","institution_ids":["https://openalex.org/I1330342723","https://openalex.org/I2802423016"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079007944","display_name":"Jos\u00e9 Antonio Quesada Rico","orcid":"https://orcid.org/0009-0009-4809-3203"},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]},{"id":"https://openalex.org/I2802423016","display_name":"WinnMed","ror":"https://ror.org/02s47w807","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I2802423016"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jose Rico","raw_affiliation_strings":["Mayo Clinic Platform, Rochester, MN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic Platform, Rochester, MN, USA","institution_ids":["https://openalex.org/I1330342723","https://openalex.org/I2802423016"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036121889","display_name":"Shehzad K. Niazi","orcid":"https://orcid.org/0000-0002-9925-331X"},"institutions":[{"id":"https://openalex.org/I2801572250","display_name":"Jacksonville College","ror":"https://ror.org/03a9t7g49","country_code":"US","type":"education","lineage":["https://openalex.org/I2801572250"]},{"id":"https://openalex.org/I4210146710","display_name":"Mayo Clinic in Florida","ror":"https://ror.org/03zzw1w08","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210146710"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Shehzad Niazi","raw_affiliation_strings":["Mayo Clinic Florida, Jacksonville, FL, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic Florida, Jacksonville, FL, USA","institution_ids":["https://openalex.org/I2801572250","https://openalex.org/I4210146710"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Jack O\u2019Horo","orcid":null},"institutions":[{"id":"https://openalex.org/I4210125099","display_name":"Mayo Clinic in Arizona","ror":"https://ror.org/03jp40720","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210125099"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jack O\u2019Horo","raw_affiliation_strings":["Mayo Clinic, Rochester, MN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic, Rochester, MN, USA","institution_ids":["https://openalex.org/I4210125099"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044764406","display_name":"Steve G. Peters","orcid":null},"institutions":[{"id":"https://openalex.org/I4210125099","display_name":"Mayo Clinic in Arizona","ror":"https://ror.org/03jp40720","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210125099"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Steve Peters","raw_affiliation_strings":["Mayo Clinic, Rochester, MN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic, Rochester, MN, USA","institution_ids":["https://openalex.org/I4210125099"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048615239","display_name":"Vijay H. Shah","orcid":"https://orcid.org/0000-0001-7620-573X"},"institutions":[{"id":"https://openalex.org/I4210125099","display_name":"Mayo Clinic in Arizona","ror":"https://ror.org/03jp40720","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210125099"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Vijay Shah","raw_affiliation_strings":["Mayo Clinic, Rochester, MN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic, Rochester, MN, USA","institution_ids":["https://openalex.org/I4210125099"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5079644404","display_name":"John Halamka","orcid":"https://orcid.org/0000-0003-2305-6755"},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]},{"id":"https://openalex.org/I2802423016","display_name":"WinnMed","ror":"https://ror.org/02s47w807","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I2802423016"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"John Halamka","raw_affiliation_strings":["Mayo Clinic Platform, Rochester, MN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic Platform, Rochester, MN, USA","institution_ids":["https://openalex.org/I1330342723","https://openalex.org/I2802423016"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":8,"corresponding_author_ids":["https://openalex.org/A5069911736"],"corresponding_institution_ids":["https://openalex.org/I1330342723","https://openalex.org/I2802423016","https://openalex.org/I4210125099","https://openalex.org/I4210146710"],"apc_list":{"value":3060,"currency":"USD","value_usd":3060},"apc_paid":{"value":3060,"currency":"USD","value_usd":3060},"fwci":8.222,"has_fulltext":true,"cited_by_count":4,"citation_normalized_percentile":{"value":0.97410154,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":98,"max":99},"biblio":{"volume":"9","issue":"1","first_page":"8","last_page":"8"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9480999708175659,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9480999708175659,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13702","display_name":"Machine Learning in Healthcare","score":0.02630000002682209,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.00430000014603138,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/limiting","display_name":"Limiting","score":0.6039000153541565},{"id":"https://openalex.org/keywords/electronic-health-record","display_name":"Electronic health record","score":0.5401999950408936},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.4878999888896942},{"id":"https://openalex.org/keywords/health-records","display_name":"Health records","score":0.4212999939918518},{"id":"https://openalex.org/keywords/best-practice","display_name":"Best practice","score":0.41110000014305115},{"id":"https://openalex.org/keywords/control","display_name":"Control (management)","score":0.4090000092983246},{"id":"https://openalex.org/keywords/health-information-technology","display_name":"Health information technology","score":0.39480000734329224},{"id":"https://openalex.org/keywords/meaningful-use","display_name":"Meaningful use","score":0.38839998841285706}],"concepts":[{"id":"https://openalex.org/C188198153","wikidata":"https://www.wikidata.org/wiki/Q1613840","display_name":"Limiting","level":2,"score":0.6039000153541565},{"id":"https://openalex.org/C3020144179","wikidata":"https://www.wikidata.org/wiki/Q10871684","display_name":"Electronic health record","level":3,"score":0.5401999950408936},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4878999888896942},{"id":"https://openalex.org/C3019952477","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Health records","level":3,"score":0.4212999939918518},{"id":"https://openalex.org/C112930515","wikidata":"https://www.wikidata.org/wiki/Q4389547","display_name":"Risk analysis (engineering)","level":1,"score":0.4171000123023987},{"id":"https://openalex.org/C184356942","wikidata":"https://www.wikidata.org/wiki/Q830382","display_name":"Best practice","level":2,"score":0.41110000014305115},{"id":"https://openalex.org/C2775924081","wikidata":"https://www.wikidata.org/wiki/Q55608371","display_name":"Control (management)","level":2,"score":0.4090000092983246},{"id":"https://openalex.org/C2776354556","wikidata":"https://www.wikidata.org/wiki/Q10910281","display_name":"Health information technology","level":3,"score":0.39480000734329224},{"id":"https://openalex.org/C3019659195","wikidata":"https://www.wikidata.org/wiki/Q5690566","display_name":"Meaningful use","level":3,"score":0.38839998841285706},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.3628999888896942},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.3513000011444092},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3481000065803528},{"id":"https://openalex.org/C121017731","wikidata":"https://www.wikidata.org/wiki/Q11661","display_name":"Information technology","level":2,"score":0.34060001373291016},{"id":"https://openalex.org/C2989236134","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Patient care","level":2,"score":0.3368000090122223},{"id":"https://openalex.org/C136197465","wikidata":"https://www.wikidata.org/wiki/Q1729295","display_name":"Variety (cybernetics)","level":2,"score":0.3248000144958496},{"id":"https://openalex.org/C180198813","wikidata":"https://www.wikidata.org/wiki/Q121182","display_name":"Information system","level":2,"score":0.32409998774528503},{"id":"https://openalex.org/C2993731853","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Patient record","level":2,"score":0.3107999861240387},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.2973000109195709},{"id":"https://openalex.org/C71745522","wikidata":"https://www.wikidata.org/wiki/Q2476929","display_name":"Confidentiality","level":2,"score":0.2858999967575073},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.2833999991416931},{"id":"https://openalex.org/C207267971","wikidata":"https://www.wikidata.org/wiki/Q120208","display_name":"Emerging technologies","level":2,"score":0.26579999923706055},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.2621999979019165},{"id":"https://openalex.org/C202645933","wikidata":"https://www.wikidata.org/wiki/Q4930","display_name":"eHealth","level":3,"score":0.25360000133514404},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.2515000104904175},{"id":"https://openalex.org/C98045186","wikidata":"https://www.wikidata.org/wiki/Q205663","display_name":"Process (computing)","level":2,"score":0.25060001015663147}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1038/s41746-025-02178-w","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-025-02178-w","pdf_url":"https://www.nature.com/articles/s41746-025-02178-w_reference.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},{"id":"pmid:41413263","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41413263","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"NPJ digital medicine","raw_type":null},{"id":"pmh:oai:doaj.org/article:3e5e64e975944115b8a697b94333ee88","is_oa":true,"landing_page_url":"https://doaj.org/article/3e5e64e975944115b8a697b94333ee88","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"npj Digital Medicine, Vol 9, Iss 1, Pp 1-7 (2025)","raw_type":"article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12769529","is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12769529/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"NPJ Digit Med","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1038/s41746-025-02178-w","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-025-02178-w","pdf_url":"https://www.nature.com/articles/s41746-025-02178-w_reference.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4417461909.pdf","grobid_xml":"https://content.openalex.org/works/W4417461909.grobid-xml"},"referenced_works_count":45,"referenced_works":["https://openalex.org/W2102333765","https://openalex.org/W2107042346","https://openalex.org/W2122565800","https://openalex.org/W2124518690","https://openalex.org/W2150290401","https://openalex.org/W2276530525","https://openalex.org/W2293925958","https://openalex.org/W2406368917","https://openalex.org/W2483447245","https://openalex.org/W2589808080","https://openalex.org/W2750847864","https://openalex.org/W2794457162","https://openalex.org/W2810476200","https://openalex.org/W2898036135","https://openalex.org/W2915053252","https://openalex.org/W2927630464","https://openalex.org/W2955987957","https://openalex.org/W2968550879","https://openalex.org/W2977096402","https://openalex.org/W2985309991","https://openalex.org/W3004612364","https://openalex.org/W3031185052","https://openalex.org/W3036561422","https://openalex.org/W3080188951","https://openalex.org/W3155369008","https://openalex.org/W3165643650","https://openalex.org/W3166425144","https://openalex.org/W3172260675","https://openalex.org/W3172898611","https://openalex.org/W3195193001","https://openalex.org/W3197238090","https://openalex.org/W3211492145","https://openalex.org/W4206464048","https://openalex.org/W4223493796","https://openalex.org/W4224291354","https://openalex.org/W4282564341","https://openalex.org/W4282918604","https://openalex.org/W4308147592","https://openalex.org/W4377197045","https://openalex.org/W4388033286","https://openalex.org/W4389917881","https://openalex.org/W4394674889","https://openalex.org/W4394688596","https://openalex.org/W4400863680","https://openalex.org/W4410369132"],"related_works":[],"abstract_inverted_index":{"Electronic":[0],"health":[1],"records":[2],"(EHRs)":[3],"offer":[4],"many":[5],"potential":[6],"benefits":[7],"to":[8,54,99],"clinicians":[9,22],"in":[10,107],"information":[11],"accessibility,":[12],"e-prescriptions,":[13],"care":[14,65],"coordination":[15],"and":[16,35,66,76,82,91,103,120,129,136,143],"more.":[17],"Despite":[18],"these":[19,56,101],"benefits,":[20],"most":[21],"experience":[23],"numerous":[24],"shortcomings":[25,51,102],"with":[26],"EHRs":[27,53],"that":[28],"impact":[29],"user":[30,80],"satisfaction,":[31],"efficiency,":[32],"patient-physician":[33],"relationships,":[34],"patient":[36,64],"safety.":[37],"With":[38],"the":[39,50],"widespread":[40],"adoption":[41],"of":[42,52,62,134,146],"this":[43],"technology":[44],"already":[45],"achieved,":[46],"we":[47],"must":[48,126],"understand":[49],"ensure":[55],"systems":[57,70,125],"fulfill":[58],"their":[59],"intended":[60],"purpose":[61],"improving":[63],"clinical":[67,108,141],"efficiency.":[68],"Many":[69],"inadequately":[71],"incorporate":[72],"user-friendly":[73],"best":[74],"practices":[75],"flexible":[77],"architectures,":[78],"limiting":[79],"control":[81],"customization.":[83],"This":[84],"review":[85],"elaborates":[86],"on":[87],"usability,":[88],"process,":[89],"technology,":[90],"policy":[92],"challenges.":[93],"We":[94],"also":[95],"describe":[96],"future":[97],"solutions":[98],"mitigate":[100],"improve":[104],"EHR":[105,111,124],"functionality":[106],"settings.":[109],"Effective":[110],"improvement":[112],"requires":[113],"addressing":[114],"known":[115],"challenges":[116],"through":[117],"improved":[118],"processes":[119],"technological":[121],"innovation.":[122],"Future":[123],"be":[127],"dynamic":[128],"adaptive,":[130],"allowing":[131],"seamless":[132],"implementation":[133],"AI":[135],"related":[137],"technologies":[138],"across":[139],"diverse":[140],"contexts":[142],"augmenting":[144],"instead":[145],"impeding":[147],"clinicians.":[148]},"counts_by_year":[{"year":2026,"cited_by_count":4}],"updated_date":"2026-06-13T06:13:01.061226","created_date":"2025-12-18T00:00:00"}
