Background: The electronic recording of patient information in ambulance services has provided healthcare professionals with the ability to send patient data to their GP or other relevant services electronically. It is critical to comprehend how paramedics view and adjust to electronic platforms as technology continues to advance. Objective: To identify the facilitators and barriers EMS staff encounter when using e-PCR. To explore the overall perception of EMS staff towards the utilization of e-PCR in EMS settings. Method: Four databases were searched including PubMed, Scopus, Medline and Science Direct. Result: All 11 publications were evaluated for qualitative data and the publication was found to be of fair or good quality. Studies investigating the perception of staff found mixed perceptions. The search generated a total of 1365 potential articles. After the initial screening process, 229 duplicate records were removed Out of the remaining 1136 papers, 1079 were excluded as they did not meet the selection criteria (the title, abstract, and keywords. Of the remaining 57 papers, a full-text screening eliminated 46 for: the study design (quantitative studies) (n=22), no perception of staff documented (n=19) and no full text available (n=5). Thus, 11 papers that met the inclusion criteria were selected for final analysis. The risk of bias was quantified using CASP. A qualitative synthesis was conducted and three major themes emerged Facilitators, Barriers and overall perception of staff. Conclusion: This systematic review found that EMS staff hold complex and diverse views on e-PCR systems. While several facilitators and barriers impact e-PCR adoption, it has been found that e-PCR has the potential to enhance documentation, communication, data-driven decision making and finally the ability to improve overall patient care quality. To ensure successful adoption, addressing technical issues, data security and training requirements and organisational barriers is important.
electronic health record, EHR, electronic patient care record, e-PCR, perception of paramedics, emergency medical staff, pre-hospital setting, ambulance service, EMS
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