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Assessing Digital Maturity of Hospitals: Viewpoint Comparing National Approaches in Five Countries
EHR coverage in hospitals was hard to assess, but between 50% and 100% of hospitals used some sort of clinical information system (ie, systems designed to support the operations of specific clinical departments or functions within an organization). Norway, Scotland, and the Netherlands had 100% coverage.
Types of EHR systems varied significantly.
J Med Internet Res 2025;27:e57858
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Insights and Trends in Open Note Access: Retrospective Observational Study
As of 2021, a total of 78% of office-based physicians and 96% of nonfederal acute care hospitals have implemented a certified electronic health record (EHR) into practice [1], which affords the ability to document these notes digitally.
J Med Internet Res 2024;26:e55982
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Early findings suggest that DCT, through facilitating comprehensive management of COVID-19 cases, enhances hospitals’ capacity to maintain safety, mitigate infection risk, and sustain operations during the pandemic [18-23]. To date, various technologies (eg, closed-circuit television, real-time locating systems, Wi-Fi access point logs, Bluetooth-based systems, electronic medical record [EMR] systems, and web applications) have been used to augment DCT [9,10,18-26].
JMIR Public Health Surveill 2024;10:e64270
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The distribution of man-days for monthly HIE use by hospitals is shown in Table 3. Table 4 shows the analysis results for facility types other than hospitals. The number of institutions connected to the HIEs included in the analysis for each month in FY2021/22 is shown in Table S3 in Multimedia Appendix 1.
Distribution of man-days for monthly HIEa use for hospitals.
a HIE: health information exchange.
JMIR Med Inform 2024;12:e56263
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During the COVID-19 pandemic, many outpatient medical offices switched to telehealth platforms to protect patients and staff, and hospitals became overwhelmed with increased numbers of patients. People in densely populated areas may have avoided medical centers to decrease their risk of exposure to COVID-19, and by not receiving medical care, a diagnosis for Lyme disease may have been missed. Globally, there was wider adoption of telehealth as a consequence of the pandemic [22].
JMIR Public Health Surveill 2024;10:e56571
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The ideal surveillance system will notice an outbreak after just a few cases that may be distributed across several shifts at multiple hospitals. An individual physician may see just 1 or 2 cases, which might seem inconsequential to them and not worthy of mention, but an automated surveillance system, such as we describe here, can gain statistical power and timeliness by aggregating data across an entire region.
JMIR Public Health Surveill 2024;10:e57349
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Since the pandemic, quality and safety outcomes in US hospitals have reportedly declined, despite advances in digital transformation [17,18]. Since 2019, quality and safety outcomes for US hospitals have resulted in lower Leapfrog Group's Hospital Safety Grades (2023) [19]. Significant workforce shortages are common [20], which have further challenged hospitals to deliver quality and safe care.
J Med Internet Res 2024;26:e56316
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Many AMS programs have targeted hospitals, as these are known to have high rates of inappropriate use of antibiotics [7]. Complex interventions with multifaceted, interconnected educational, behavioral, and technological components have the potential to enhance AMS [8]. Here, evidence suggests that behavioral change AMS interventions may encourage good AMS practice and adherence to guidelines by health professionals.
JMIR Form Res 2024;8:e54458
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The Paradoxes of Digital Tools in Hospitals: Qualitative Interview Study
The burden placed upon health care professionals (HCPs) in hospitals by the complexities of digital environments is a recognized and well-reported challenge of our time [1,2].
J Med Internet Res 2024;26:e56095
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