Study Identifies Barriers to EHR Usage for Pragmatic Clinical Trials

Study Identifies Barriers to EHR Usage for Pragmatic Clinical Trials

Posted Oct 16, 2021 from

A National Institutes of Health Collaboratory study has identified several challenges encountered when using the electronic health record (EHR) for pragmatic clinical research.

Since 2012, the NIH’s Health Care Systems Research Collaboratory has served as the resource coordinating center for 21 pragmatic clinical trial demonstration projects. (Pragmatic trials evaluate the effectiveness of interventions in real-life practice conditions.)

The EHR Core working group invited these demonstration projects to complete a written semi-structured survey and used an inductive approach to review responses and identify EHR-related challenges and suggested EHR enhancements.

The challenges identified by the projects included inadequate collection of patient-centered data, lack of functionality for structured data collection, lack of standardization, lack of resources to support customization, difficulties aggregating data from multiple sites, and difficult and inefficient access to EHR data.


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