ANALYSIS OF THE PROBLEMS OF INTERACTION OF OPERATORS OF MEDICAL INFORMATION SYSTEMS WITH THE SYSTEMS THEMSELVES AT THE GLOBAL LEVEL (LITERATURE REVIEW)
DOI:
https://doi.org/10.11603/1681-2786.2025.4.15909Keywords:
electronic medical records; operators (healthcare professionals); problems in interaction; information technology; cybersecurity.Abstract
Purpose: To perform a content analysis of available printed and electronic publications in professional, specialized sources of scientific and medical information on the problem of defects and critical moments of interaction of the operator (health care worker) with medical information systems. Materials and methods. An information search was conducted on the Internet among specialized sites, electronic libraries and aggregators of medical information using the keywords. The primary selection of information sources was carried out using large artificial intelligence models “Gemini.ai” and “Grok”. The results obtained were subjected to a thorough critical analysis, which allowed us to outline the main points that formed the basis of the presented results. Results. A systematic analysis of the available specialized literature and electronic sources of information has identified the main groups of problematic issues in the interaction of operators of medical information systems (healthcare institution employees) with the systems themselves. These are the following groups of problems: user interface problems in medical information systems, disruptions in the production process, data management problems in medical information systems, system performance and reliability, obstacles to interaction and integration of different medical information systems, obstacles to training operators to work with medical information systems, concerns about the security of data transmission and storage and their compliance, operator workload and exhaustion of healthcare institution employees, patient safety and quality of medical care, as well as financial and operational costs. Conclusions. The identified groups of problems should be the object of increased attention and study by healthcare organizers, managers and administrative personnel of healthcare institutions, employees of insurance organizations and developers and service technical support workers of medical information systems themselves.
References
Ліщинська Л. Б., Яремко С. А., Копняк К. В. Інформаційні технології у сфері охорони здоров’я. Вінниця : ВТЕІ
КНТЕУ, 2018. 238 с.
Про схвалення Концепції розвитку електронної охорони здоров’я : Постанова Кабінету Міністрів України від 28 грудня 2020 р. № 1671-р. URL: https://zakon.rada.gov.ua/laws/show/1671-2020-%D1%80#Text (дата звернення:
10.2025).
Електронна система охорони здоров’я в Україні. 2023. URL: https://ehealth.gov.ua/(дата звернення: 28.10.2025).
Медичні інформаційні системи: огляд можливостей і приклади використання. 2023. URL: https://evergreens.com.ua/ua/articles/medical-information-systems.html (дата звернення: 28.10.2025).
Радзішевська Є. Б., Висоцька О. В. Інформаційні технології в медицині. E-health. Харків : ХНМУ, 2019. 72 с.
Левківський В. Л. Аналіз структури та функціональних можливостей медичних інформаційних систем України. Вісник ХНТУ. 2023. № 3(86). С. 111–118. DOI: org/10.35546/kntu2078-4481.2023.3.14 DOI: https://doi.org/10.35546/kntu2078-4481.2023.3.14
Darrell Ranum J.D. Electronic health records continue to lead to medical malpractice suits. 2019. URL: https://www.
thedoctors.com/articles/electronic-health-records-continue-to-lead-to-medical-malpractice-suits/(дата звернення:
10.2025).
Kim M.O., Coiera E., Magrabi F. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. J Am Med Inform Assoc. 2017. № 24(2). Р. 246–250. DOI: 10.1093/jamia/ocw154 DOI: https://doi.org/10.1093/jamia/ocw154
Kulikowski C.A. Ethics in the History of Medical Informatics for Decision-Making: Early Challenges to Digital Health
Goals. Yearb Med Inform. 2022. № 31(1). Р. 317–322. DOI: 10.1055/s-0042-1742491 DOI: https://doi.org/10.1055/s-0042-1742491
Cahill M., Cleary B.J., Cullinan S. The influence of electronic health record design on usability and medication safety: systematic review. BMC Health Serv Res. 2025. № 25(1). Р. 31. DOI: 10.1186/s12913-024-12060-2. DOI: https://doi.org/10.1186/s12913-024-12060-2
Thissen A., Salgado-Baez E., Fürstenau D., Delucchi Danhier R., Meske C., Kuss P., Angermair S., Spies C., Balzer F.
Barriers and Facilitators of the Use of Computerized Critical Care Information Systems in the Intensive Care Unit: Qualitative Interview Study. J Med Internet Res. 2025. № 27. Р. e49254. DOI: 10.2196/49254. DOI: https://doi.org/10.2196/49254
McKale S. Ensuring Data Accuracy in Healthcare Systems: Challenges and Solutions. URL: https://www.ve3.global/
ensuring-data-accuracy-in-healthcare-systems-challenges-and-solutions/ (дата звернення: 28.10.2025).
Garabedian P.M., Rui A., Volk L.A., Neville B.A., Lipsitz S.R., Healey M.J., Bates D.W. A Multiyear Survey Evaluating
Clinician Electronic Health Record Satisfaction. Appl Clin Inform. 2023. № 14(4). Р. 632–643. DOI: 10.1055/s- DOI: https://doi.org/10.1055/s-0043-1770900
-1770900.
Levy D.R., Withall J.B., Mishuris R.G., Tiase V., Diamond C., Douthit B., Grabowska M., Lee R.Y., Moy A.J., Sengstack
P., Adler-Milstein J., Detmer D.E., Johnson K.B., Cimino J.J., Corley S., Murphy J., Rosenbloom S.T., Cato K.,
Rossetti S.C. Defining Documentation Burden (DocBurden) and Excessive DocBurden for All Health Professionals: A
Scoping Review. Appl Clin Inform. 2024. № 15(5). Р. 898–913. DOI: 10.1055/a-2385-1654. DOI: https://doi.org/10.1055/a-2385-1654
Classen D.C., Longhurst C.A., Davis T., Milstein J.A., Bates D.W. Inpatient EHR User Experience and Hospital EHR
Safety Performance. JAMA Netw Open. 2023. № 6(9). Р. e2333152. DOI: 10.1001/jamanetworkopen.2023.33152. DOI: https://doi.org/10.1001/jamanetworkopen.2023.33152
Pierce R.P., Eskridge B.R., Rehard L., Ross B., Day M.A., Belden J.L. The Effect of Electronic Health Record Usability
Redesign on Annual Screening Rates in an Ambulatory Setting. Appl Clin Inform. 2020. № 11(4). Р. 580–588. DOI: DOI: https://doi.org/10.1055/s-0040-1715828
1055/s-0040-1715828.
Rodrigues D.A., Roque M., Mateos-Campos R., Figueiras A., Herdeiro M.T., Roque F. Barriers and facilitators of health professionals in adopting digital health-related tools for medication appropriateness: A systematic review. Digit Health. 2024. № 10. Р. 20552076231225133. DOI: 10.1177/20552076231225133. DOI: https://doi.org/10.1177/20552076231225133
Onyeabor U.S., Onwuasoigwe O., Okenwa W.O., Schaaf T., Pinkwart N., Balzer F. Assessing the usability and performance of digital healthcare systems in Nigerian teaching hospitals: Challenges and future directions. Digit Health. 2025. № 11. Р. 20552076251341089. DOI: 10.1177/20552076251341089. DOI: https://doi.org/10.1177/20552076251341089
Ajami S., Bagheri-Tadi T. Barriers for Adopting Electronic Health Records (EHRs) by Physicians. Acta Inform Med.
№ 21(2). Р. 129–134. DOI: 10.5455/aim.2013.21.129-134. DOI: https://doi.org/10.5455/aim.2013.21.129-134
Kujawa M. How Health Tech Can Reduce Employee Stress and Burnout. RXNT. 2025. URL: https://www.rxnt.com/howhealthcare-technology-can-reduce-employee-stress-and-burnout-in-ambulatory-care/ (дата звернення: 28.10.2025).
Sittig D.F., Lakhani P., Singh H. Applying requisite imagination to safeguard electronic health record transitions. J Am Med Inform Assoc. 2022. № 29(5). Р. 1014–1018. DOI: 10.1093/jamia/ocab291 DOI: https://doi.org/10.1093/jamia/ocab291
Alzghaibi H., Hutchings H.A. Barriers to the implementation of large-scale electronic health record systems in primary healthcare centers: a mixed-methods study in Saudi Arabia. Front Med (Lausanne). 2025. № 12. Р. 1516714. DOI: 10.3389/fmed.2025.1516714. DOI: https://doi.org/10.3389/fmed.2025.1516714
Yeo L.H., Banfield J. Human Factors in Electronic Health Records Cybersecurity Breach: An Exploratory Analysis. Perspect Health Inf Manag. 2022. № 19 (Spring). Р.1i.
Huang C., Koppel R., McGreevey J.D. 3rd, Craven C.K., Schreiber R. Transitions from One Electronic Health Record
to Another: Challenges, Pitfalls, and Recommendations. Appl Clin Inform. 2020. №11(5). Р. 742–754. DOI: 10.1055/s- DOI: https://doi.org/10.1055/s-0040-1718535
-1718535.
Musa S., Dergaa I., Al-Shekh Yasin R., Singh R. The Impact of Training on Electronic Health Records Related Knowledge, Practical Competencies, and Staff Satisfaction: A Pre-Post Intervention Study Among Wellness Center Providers in a Primary Health-Care Facility. J Multidiscip Healthc. 2023. № 16. Р. 1551–1563. DOI: 10.2147/JMDH.S414200. DOI: https://doi.org/10.2147/JMDH.S414200
Crolley B.F. 7 Effective Ways to Manage Resistance to Change in Healthcare – OCM Solution. URL: https://www.
ocmsolution.com/manage-resistance-to-change-in-healthcare/ (дата звернення: 28.10.2025).
Howe J.L., Adams K.T., Hettinger A.Z., Ratwani R.M. Electronic Health Record Usability Issues and Potential Contribution to Patient Harm. JAMA. 2018. № 319(12). Р. 1276–1278. DOI: 10.1001/jama.2018.1171 DOI: https://doi.org/10.1001/jama.2018.1171
Holmgren A.J., McBride S., Gale B., Mossburg S. Technology as a tool for improving patient safety. PSNet. 2023. URL: https://psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety (дата звернення: 28.10.2025).
AHA Letter to House E&C Subcommittee for May 1 Hearing on Change Healthcare Cyberattack. American Hospital Association, April 29, 2024. URL: https://www.aha.org/lettercomment/2024-04-29-aha-letter-house-ec subcommittee-may-1-hearing-change-healthcare cyberattack (дата звернення: 28.10.2025).
Information on the Change Healthcare Cyber Response. Change Healthcare, September 3, 2024. URL: https://www.unitedhealth group.com/ns/changehealthcare.html (дата звернення: 28.10.2025).
Change’s Cyber Security Incident May Affect Smaller Healthcare Issuers,” Fitch Ratings, March 18, 2024. URL:
https:// www.fitchratings.com/research/insurance/changes-cyber-security-incident-may-af fect-smaller-healthcare-issuers-18-03-2024 (дата звернення: 28.10.2025).
Araújo J. Health Information Management: Best Practices and Solutions. V2 Cloud. 2025. URL: https://v2cloud.com/blog/health-information-management-guide (дата звернення: 28.10.2025).
Alanazi A.T. Clinicians’ Perspectives on Healthcare Cybersecurity and Cyber Threats. Cureus. 2023. №15(10). Р. e47026. DOI: 10.7759/cureus.47026 DOI: https://doi.org/10.7759/cureus.47026
Jerry-Egemba N. Safe and sound: Strengthening cybersecurity in healthcare through robust staff educational programs. Healthcare Manage Forum. 2024. № 37(1). Р. 21–25. DOI: 10.1177/08404704231194577 DOI: https://doi.org/10.1177/08404704231194577
Li E., Clarke J., Ashrafian H., Darzi A., Neves A. The Impact of Electronic Health Record Interoperability on Safety and Quality of Care in High-Income Countries: Systematic Review. J Med Internet Res. 2022. № 24(9). Р. e38144. DOI: DOI: https://doi.org/10.2196/38144
2196/38144
Sharma R. Healthcare Data Security: Best practices, challenges, and compliance guide. Protecto AI. 2025. URL:
https://www.protecto.ai/blog/healthcare-data-security-best-practices-challenges-compliance-guide (дата звернення: 28.10.2025).
What is PHI & How to Protect Patient Health Information. URL: https://www.redactable.com/blog/how-to-protect-patienthealth-information (дата звернення: 28.10.2025).
Chepkirui M., Dellicour S., Musuva R., Odero I., Omondi B., Omondi B., Onyango E., Barsosio H., Otiso L., Okomo G., Waweru M., Lesosky M., Tancred T., Alhassan Y., Kariuki S., ter-Kuile F., Taegtmeyer M. Missed opportunities for digital health data use in healthcare decision-making: A cross-sectional digital health landscape assessment in Homa Bay county, Kenya. PLOS Digit Health. 2025. № 4(6). Р. e0000870. DOI: 10.1371/journal.pdig.0000870. DOI: https://doi.org/10.1371/journal.pdig.0000870
Finnegan H., Mountford N. 25 Years of Electronic Health Record Implementation Processes: Scoping Review. J Med
Internet Res. 2025. № 27. Р. e60077. DOI: 10.2196/60077. DOI: https://doi.org/10.2196/60077
Shapochka Y. Designing for Patient Empowerment: Avoiding errors in the healthcare UX : UXMatters. UXmatters. URL: https://www.uxmatters.com/mt/archives/2025/01/designing-for-patient-empowerment-avoiding-errors-in-the-healthcare-ux.php (дата звернення: 28.10.2025).
Ai S., Ai S. Understanding the operational and financial challenges of implementing electronic health records in small healthcare facilities. Simbo AI – Blogs. 2024. URL: https://www.simbo.ai/blog/understanding-the-operational-and-financial-challenges-of-implementing-electronic-health-records-in-small-healthcare-facilities-349801/ (дата звернення: 28.10.2025).
Wang Z., West C.P., Stelling B.E.V., Hasan B., Simha S., Saadi S., Firwana M., Nayfeh T., Viola K.E., Prokop L.J.,
Murad M.H. Measuring documentation burden in healthcare. 2024. URL: https://doi.org/10.23970/ahrqepctb47 DOI: https://doi.org/10.23970/AHRQEPCTB47
Ray J.L. EHR Optimization: Using Data to Improve Clinical Workflows. URL: https://www.cdw.com/content/cdw/en/articles/dataanalytics/ehr-optimization-improve-clinical-workflows.htmlCDW (дата звернення: 28.10.2025).
Campione J., Liu H. Perceptions of hospital electronic health record (EHR) training, support, and patient safety by staff position and tenure. BMC Health Serv Res. 2024. № 24(1). Р. 955. DOI: 10.1186/s12913-024-11322-3. DOI: https://doi.org/10.1186/s12913-024-11322-3
Krevat S.A., Samuel S., Boxley C., Mohan V., Siegal D., Gold J.A., Ratwani R.M. Identifying Electronic Health Record
Contributions to Diagnostic Error in Ambulatory Settings Through Legal Claims Analysis. JAMA Netw Open. 2023. № 6(4). Р. e238399. DOI: 10.1001/jamanetworkopen.2023.8399. DOI: https://doi.org/10.1001/jamanetworkopen.2023.8399
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).
