Table 1 Summary of main findings from studies reporting on barriers to successful EPR implementation
Scantlebury et al.282017Poor staff understanding of rationale and benefits
Poor system integration
Parallel paper systems
Chan et al.112016Physician cooperation
Costs of maintenance and upgrades
Workflow changes
Harle et al.272016Lack of recognition of clinical benefit
Chan et al.112016Obtaining physician cooperation
Costs of maintenance and upgrades
McAlearney et al.122015Workflow and practice changes
Shifts in expertise
Patient interaction changes
Training and education issues
Clarke et al.102015Ensuring adequate clinician involvement limited financial and human resources
McAlearney et al.122013Poor staff IT skills
Resistance to workflow changes
Terry et al.222012Poor staff training for system use
Inadequate interoperability
Cresswell et al.182011Poor user consultation
Inadequate customisation
McAlearney et al.162010Resources
Ongoing system support
User interface
Regulatory compliance
Jensen et al.252009Data reliability
Samoutis et al.202007Staff ability to use technology
Wibe et al.212006Staff training resource
Crosson et al.172005Poor communication
Scott et al.192005Poor usability
Retchin et al.151999Lack of integration, security issues, providers who were inflexible and prohibitive purchase cost